Parachuri V Rao, Adhyapak Srilakshmi M, Shetty Devi Prasad
1 Department of Cardiac Surgery, Narayana Hrudayalaya Institute of Medical Sciences, 381800 St. John's Medical College Hospital , Bangalore, India.
2 Department of Cardiology, Narayana Hrudayalaya Institute of Medical Sciences, 381800 St. John's Medical College Hospital , Bangalore, India.
Asian Cardiovasc Thorac Ann. 2018 Feb;26(2):151-153. doi: 10.1177/0218492317733110. Epub 2017 Sep 14.
Quadruple-valve repair or replacement is associated with significant morbidity and mortality because the clinical situation of severe disease of all 4 valves implies incipient myocardial damage. We report a case of redo quadruple-valve repair in a patient with rheumatic heart disease who had undergone the Ross procedure 14 years earlier. He presented with heart failure. Cardiac evaluation revealed severe disease of all 4 valves, necessitating surgery. Because he was in advanced heart failure and all 4 valves were suitable for repair, a quadruple-valve repair was performed.
四瓣膜修复或置换与显著的发病率和死亡率相关，因为所有四个瓣膜严重病变的临床情况意味着心肌已开始受损。我们报告一例风湿性心脏病患者再次进行四瓣膜修复的病例，该患者14年前接受了罗斯手术。他出现了心力衰竭。心脏评估显示所有四个瓣膜均有严重病变，需要进行手术。由于他处于晚期心力衰竭且所有四个瓣膜都适合修复，因此进行了四瓣膜修复。
