Yamazaki T, Kobayashi A, Ohara K, Yamashita M, Nakayama M, Sugimura S, Watanabe K
Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, Japan.
Kyobu Geka. 1995 Jul;48(7):576-8.
A 61-year-old woman was admitted for heart failure. She was diagnosed as corrected TGA with tricuspid regurgitation, perimembronous ventricular septal defect and atrioventricular block by echocardiography and cardiac catheterization. We chose tricuspid valve replacement with preservation of valve leaflet and subvalvular apparatus, direct closure of ventricular septal defect and implantation of permanent pacemaker (myocardial lead). Although IABP was needed for 24 hours, after that postoperative course was uneventful. It is preferable that tricuspid valve replacement with preservation of valve leaflet and subvalvular apparatus is applied to similar adult cases from standpoint of morphological structure.
一名61岁女性因心力衰竭入院。经超声心动图和心导管检查，她被诊断为矫正型大动脉转位、三尖瓣反流、膜周部室间隔缺损和房室传导阻滞。我们选择保留瓣叶和瓣下结构的三尖瓣置换术、直接关闭室间隔缺损并植入永久起搏器（心肌电极）。尽管术后需要主动脉内球囊反搏24小时，但之后的术后过程顺利。从形态结构的角度来看，保留瓣叶和瓣下结构的三尖瓣置换术应用于类似的成年病例是可取的。
