Department of Cardioanesthesiology and Intensive Care, Grande Ospedale Metropolitano, Reggio Calabria, Italy.
Department of Cardiac Surgery, Grande Ospedale Metropolitano, Reggio Calabria, Italy.
Eur J Cardiothorac Surg. 2021 Apr 13;59(3):720-722. doi: 10.1093/ejcts/ezaa316.
This case report describes an unusual case of a 69-year-old man who had an aortic valve replacement with the Smeloff-Cutter aortic mechanical prosthesis for aortic valve regurgitation at the age of 18 years. Echocardiography revealed a well-suited and well-functioning mechanical prosthesis. Even though the patient did not take any anticoagulant therapy or anti-platelets agent for 12 years, he was in surprisingly good health. To the best of our knowledge, this is the first time a mechanical 'ball-in-cage' valve prosthesis has lasted for such a long time without complications, although the patient has not been compliant with the anticoagulant therapy for 12 consecutive years.
本病例报告描述了一例不寻常的病例，一名 69 岁男性，18 岁时因主动脉瓣反流行主动脉机械瓣 Smeloff-Cutter 置换术。超声心动图显示机械瓣膜适配良好，功能正常。尽管该患者在 12 年内未接受任何抗凝或抗血小板治疗，但他的健康状况出人意料地良好。据我们所知，尽管患者连续 12 年未遵医嘱进行抗凝治疗，但这是首例机械“笼球”瓣假体如此长时间无并发症的情况。
