Nakamae Kosuke, Oshitomi Takashi, Takaji Kentaro, Uesugi Hideyuki
Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
J Chest Surg. 2022 Apr 5;55(2):177-179. doi: 10.5090/jcs.21.113.
Barlow's disease with mitral annular calcification encompassing the subvalvular apparatus, including the valve leaflet and chordae, is extremely rare, and mitral valve repair in such cases is challenging. We report a case of a 60-year-old woman with mitral valve regurgitation that was successfully controlled by resecting the rough zone of P2 and calcifications on the excess leaflet regions and subvalvular apparatus, while retaining the calcification of P3 and implanting artificial chordae and an annuloplasty ring. Mitral valve repair for such cases requires an individualized and compounded surgical strategy for the technique to treat Barlow's disease and manage calcification to control mitral regurgitation.
巴洛氏病合并二尖瓣环钙化累及瓣下结构，包括瓣膜小叶和腱索，极为罕见，在此类病例中进行二尖瓣修复具有挑战性。我们报告一例60岁女性二尖瓣反流病例，通过切除P2粗糙区以及多余小叶区域和瓣下结构的钙化灶，同时保留P3的钙化灶，并植入人工腱索和瓣环成形环，成功控制了反流。对于此类病例的二尖瓣修复，需要一种个体化的复合手术策略，以采用治疗巴洛氏病的技术并处理钙化来控制二尖瓣反流。
