Ono Shunya, Morooka Kazuki, Tateishi Retsu, Nishigawa Kosaku, Kanemura Takeyuki
Cardiovascular Surgery, IMS Katsushika Heart Center, Tokyo, JPN.
Cureus. 2024 Dec 26;16(12):e76447. doi: 10.7759/cureus.76447. eCollection 2024 Dec.
An 85-year-old woman with long-standing atrial fibrillation and severe tricuspid regurgitation presented with worsening symptoms and massive right atrial enlargement (RAE). The patient experienced shortness of breath even during minimal exertion, such as walking within her house, which significantly impacted her daily activities. Surgical intervention, including tricuspid valve replacement and right atrial plication (RAP), led to significant symptomatic relief and improved pulmonary function. Postoperatively, the patient's heart size and lung capacity showed significant recovery. This case underscores the potential benefits of the RAP in alleviating respiratory restriction due to lung compression caused by the enlarged right atrium and enhancing the quality of life of patients with severe RAE.
一名患有长期心房颤动和严重三尖瓣反流的85岁女性，症状逐渐加重，出现巨大右心房扩大（RAE）。即使在轻微活动时，如在屋内行走，患者也会感到呼吸急促，这严重影响了她的日常活动。手术干预，包括三尖瓣置换和右心房折叠术（RAP），显著缓解了症状并改善了肺功能。术后，患者的心脏大小和肺容量有显著恢复。该病例强调了RAP在缓解因右心房扩大导致的肺受压引起的呼吸受限以及提高严重RAE患者生活质量方面的潜在益处。
