Hata T, Namba H, Tsushima Y, Tezuka M, Shinozaki M, Murakami T, Hamanaka S, Yashima M, Taniguchi G
Cardiovascular Center Sakakibara Hospital, Okayama, Japan.
Kyobu Geka. 1993 Apr;46(4):370-3.
We have experienced open heart surgery of severe valvular aortic stenosis associated with atrial septal defect in a 78-year-old female patient. This is the oldest case in Japanese literature. Because balloon valvuloplasty can not produce improvement in hemodynamic and clinical status, open heart surgery was performed as the final decision. The operative procedure consisted of aortic valve replacement with a 19 mm St. Jude Medical valve and direct closure of atrial septal defect. Postoperative course was excellent. The patient is doing well at the two years and three months of follow-up period.
我们为一名78岁女性患者进行了与房间隔缺损相关的严重主动脉瓣狭窄的心脏直视手术。这是日本文献中年龄最大的病例。由于球囊瓣膜成形术无法改善血流动力学和临床状况，最终决定进行心脏直视手术。手术过程包括用19毫米圣犹达医疗瓣膜置换主动脉瓣并直接闭合房间隔缺损。术后过程良好。在随访的两年零三个月时，患者情况良好。
