Hegazy Yasser Yehia, Koriem Mohamed, Keshk-Hegazy Noha Samir, Sodian Ralf
Mediclin Herzzentrum Lahr, Herzchirurgie, Lahr, Lahr, Germany.
Department of Cardiothoracic Surgery, Alexandria Faculty of Medicine, Alexandria, Egypt.
Thorac Cardiovasc Surg Rep. 2021 Jan;10(1):e22-e24. doi: 10.1055/s-0040-1722734. Epub 2021 Mar 19.
Although surgical closure of ventricular septal defect (VSD) is the gold standard treatment, patients are subjected to deterioration in the following decades. We will present here the first case in literature surviving 60 years after surgical VSD closure with a residual VSD and presenting again for surgery. A 68-year-old male patient who underwent surgical closure of a perimembranous VSD in Berlin in 1959. Postoperatively, a small residual VSD was noticed, which was well tolerated over six decades. He presented 60 years postoperatively with severe aortic regurgitation, tricuspid regurgitation, and moderate mitral regurgitation.
尽管室间隔缺损（VSD）的手术闭合是金标准治疗方法，但患者在接下来的几十年中仍会出现病情恶化。我们在此将介绍文献中的首例病例，该患者在室间隔缺损手术闭合后伴有残余室间隔缺损存活了60年，之后再次接受手术。一名68岁男性患者于1959年在柏林接受了膜周部室间隔缺损的手术闭合。术后发现有一个小的残余室间隔缺损，在六十多年里耐受性良好。术后60年，他出现了严重的主动脉瓣反流、三尖瓣反流和中度二尖瓣反流。
