Kobayashi Kensuke, Mizuno Yusuke, Kai Takayuki
Department of Cardiac Surgery, Daiyukai General Hospital, Ichinomiya, Aich, Japan.
Department of Surgery, Daiyukai General Hospital, Ichinomiya, Aich, Japan.
Braz J Cardiovasc Surg. 2025 May 5;40(4):e20240053. doi: 10.21470/1678-9741-2024-0053.
A 79-year-old man with severe aortic valve stenosis and atrial fibrillation was referred to our department for surgery. Computed tomography revealed persistent left superior vena cava. Lower mini-sternotomy was performed. The left atrial appendage was amputated before ablation of the persistent left superior vena cava. The jaw of the ablation device was passed behind the pulmonary veins using a tip-lighted articulating dissector. Finally, aortic valve replacement was completed. Aortic valve replacement with concomitant pulmonary vein and persistent left superior vena cava ablation via lower mini-sternotomy is a safe and less invasive alternative.
一名79岁患有严重主动脉瓣狭窄和心房颤动的男性被转诊至我科接受手术。计算机断层扫描显示存在持续左上腔静脉。实施了低位小切口胸骨切开术。在消融持续左上腔静脉之前切除了左心耳。使用尖端照明的关节式解剖器将消融装置的钳夹置于肺静脉后方。最后，完成了主动脉瓣置换术。通过低位小切口胸骨切开术同时进行肺静脉和持续左上腔静脉消融的主动脉瓣置换术是一种安全且侵入性较小的替代方法。
