Takahama M, Kawachi K, Fukutomi M, Kawata T, Kobayashi S, Kitamura S
Department of Surgery III, Nara Medical College, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Mar;43(3):417-22.
The patient was a 50-year-old man who had an SLL-type corrected transposition of the great arteries (C-TGA) accompanied by significant regurgitation of the bilateral atrioventricular valves, atrial septal defect (ASD), persistent left superior vena cava, atrial fibrillation, and ventricular extrasystoles. The systemic tricuspid valve was repaired with a 28 mm Carpentier-Edwards ring (C-E ring) for the mitral valve, while the systemic mitral valve was repaired with a 32 mm C-E ring for the tricuspid valve. Simultaneously, the associated ASD was closed. Although mild tricuspid valve regurgitation persisted postoperatively, his general condition greatly improved. The report of valve repair for both atrioventricular valves in C-TGA is rare, and only 6 such cases have been reported in the Japanese literature.
该患者为一名50岁男性，患有矫正型大动脉转位（C-TGA）的SLL型，伴有双侧房室瓣严重反流、房间隔缺损（ASD）、永存左上腔静脉、心房颤动和室性早搏。用28毫米的Carpentier-Edwards环（C-E环）修复二尖瓣的体循环三尖瓣，而用32毫米的C-E环修复三尖瓣的体循环二尖瓣。同时，关闭相关的房间隔缺损。尽管术后仍存在轻度三尖瓣反流，但他的总体状况有了很大改善。关于C-TGA中两个房室瓣瓣膜修复的报道很少，日本文献中仅报道了6例此类病例。
