Sawada Yasuhiro, Suzuki Hitoshi, Teranishi Satoshi, Mizumoto Tooru, Shimpo Hideto
Department of Cardiovascular Surgery, Mie Prefectural General Medical Center, Yokkaichi, Japan.
Kyobu Geka. 2020 Oct;73(11):944-946.
We report a case of surgical treatment of mitral valve stenosis due to severe calcification on the glutaraldehyde-treated autologous pericardium. A 39-year-old woman presented with progressive dyspnea. She had undergone mitral valve repair by leaflet augmentation with a glutaraldehyde-treated autologous pericardium for mitral regurgitation 3 years before. Transthoracic echocardiography showed mitral valve stenosis with limited movement of the anterior leaflet. At redo surgery, severe calcification was observed of the glutaraldehyde-treated autologous pericardium patch on the anterior mitral leaflet. Mitral valve replacement was performed successfully, and she was discharged on postoperative day 14.
我们报告一例因戊二醛处理的自体心包严重钙化导致二尖瓣狭窄的手术治疗病例。一名39岁女性出现进行性呼吸困难。3年前，她因二尖瓣反流接受了戊二醛处理的自体心包瓣叶扩大二尖瓣修复术。经胸超声心动图显示二尖瓣狭窄，前叶活动受限。再次手术时，观察到二尖瓣前叶上戊二醛处理的自体心包补片严重钙化。成功进行了二尖瓣置换术，患者于术后第14天出院。
