Murase Toshifumi, Tamura Susumu, Takahashi Aya, Sato Manabu, Ishii Rina, Yamazaki Kenji, Yokouchi Itaru, Kumagai Kenta, Sugi Kaoru
Department of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Japan.
Kyobu Geka. 2022 Jun;75(6):461-465.
There are only few reports on surgery for partial atrioventricular septal defect( pAVSD) in patients aged over 70 years. This report is about successful surgical correction of pAVSD in a 79-year-old women. Echocardiography showed left-sided atrioventricular valve regurgitation with cleft and ostium primum atrial septal defect, but without ventricular septal defect. Accordingly, she was diagnosed with pAVSD. Treatment plan included direct cleft closure, patch closure for the ostium primum atrial septal defect, and right atrioventricular annuloplasty. The postoperative course was uneventful. She was followed up without complications for four years. To the best of our knowledge, our patient is the oldest to undergo such surgical techniques in Japan to date.
关于70岁以上患者的部分房室间隔缺损(pAVSD)手术的报道很少。本报告讲述的是一名79岁女性成功接受pAVSD手术矫正的病例。超声心动图显示左侧房室瓣反流伴瓣叶裂缺及原发孔房间隔缺损,但无室间隔缺损。因此,她被诊断为pAVSD。治疗方案包括直接闭合瓣叶裂缺、修补原发孔房间隔缺损以及右房室瓣环成形术。术后过程顺利。她接受了四年的随访,没有出现并发症。据我们所知,我们的患者是迄今为止在日本接受此类手术技术的年龄最大的患者。