Ono Y, Kikuchi S, Maida K, Tanaka S, Koyanagi M, Suga M
Department of Cardiovascular Surgery, Aomori Prefectural Central Hospital, Japan.
Kyobu Geka. 1993 Mar;46(3):275-8.
We reported a case of ankylosing spondylitis which successfully underwent aortic valve replacement for combined aortic and mitral regurgitation. A 42-year-old man was admitted with symptoms of shortness of breath and anginal pain. He was previously diagnosed ankylosing spondylitis by an orthopedician A grade III/VI to and fro murmur was audible at the left sternal border. Retrograde aortography revealed severe aortic regurgitation and mild mitral regurgitation. Cardiac catheterization showed moderately pulmonary hypertension and high pulmonary artery wedge pressure. He underwent aortic valve replacement with SJM prosthetic valve. His postoperative course was uneventful. In Japan, ankylosing spondylitis is rare disease, and cardiac lesions associated with these conditions is seldom met to us. The surgical problems and management of these lesions are discussed.
我们报告了一例强直性脊柱炎患者，该患者因主动脉瓣和二尖瓣反流合并成功接受了主动脉瓣置换术。一名42岁男性因呼吸急促和心绞痛症状入院。他之前被骨科医生诊断为强直性脊柱炎。在左胸骨缘可闻及III/VI级来回性杂音。逆行主动脉造影显示严重主动脉反流和轻度二尖瓣反流。心导管检查显示中度肺动脉高压和高肺动脉楔压。他接受了使用圣犹达医疗公司（SJM）人工瓣膜的主动脉瓣置换术。术后恢复顺利。在日本，强直性脊柱炎是一种罕见疾病，我们很少遇到与这些疾病相关的心脏病变。本文讨论了这些病变的手术问题及处理方法。
