Katsumata T, Egoh Y, Nojiri C, Iguchi N, Utsumi M, Oka T, Kato T, Takahashi S
Department of Cardiovascular Surgery, Kosei General Hospital, Tokyo, Japan.
Kyobu Geka. 1993 Mar;46(3):279-82.
A 70-year-old female with partial atrioventricular septal defect underwent a total correction of the anomaly. The patient was in NYHA functional class II. Preoperative cardiac catheterization demonstrated a primum-type atrial septal defect through which 33% of left to right shunt occurred and a cleft of mitral valve causing moderate regurgitation. The operative procedure as our routine for this anomaly consisted of suture of mitral septal commissure and closure of atrial septal defect with autologous pericardial patch. Postoperative examination showed satisfactory competence of mitral valve and improved functional capacity. A successful correction for the case aged more than 66 with this anomaly has not been reported so far in Japanese literature. We conclude that surgical treatment should be basically considered for this anomaly in spite of senility.
一名70岁患有部分房室间隔缺损的女性接受了该畸形的完全矫正手术。患者纽约心脏协会(NYHA)心功能分级为II级。术前心导管检查显示为原发孔型房间隔缺损,有33%的左向右分流,且二尖瓣裂导致中度反流。针对该畸形,我们的常规手术步骤包括二尖瓣间隔连合处缝合以及用自体心包补片关闭房间隔缺损。术后检查显示二尖瓣功能良好,心功能得到改善。在日本文献中,至今尚未报道过对66岁以上患有该畸形患者进行成功矫正的案例。我们得出结论,尽管患者年事已高,但对于这种畸形基本上仍应考虑手术治疗。