Matsumura G, Takanashi Y, Hiramatsu T, Hoshino S, Imai Y, Nakazawa M
Department of Pediatric Cardiovasucular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Jul;45(7):985-9.
Mitral valve replacement was successfully performed in a 13-year-old girl due to severely calcified mitral valve stenosis and pulmonary hypertension who had undergone renal transplantation from her father at the age of 8 years old. Although, percutaneous transluminal mitral commissurotomy had been performed for four times until January 1996, severe mitral stenosis could be relieved and she was transported to our hospital in emergency for respiratory failure caused by pulmonary edema. Then we decided to perform mitral valve replacement. The operation was done successfully using trans-septal superior approach with SJMHP 19 mmM. the blood cyclosporin levels were monitored and controlled within normal limits. This is the first successful case of pediatric open heart surgery after renal transplantation to our knowledge.
一名13岁女孩因严重钙化性二尖瓣狭窄和肺动脉高压成功进行了二尖瓣置换术，该女孩8岁时接受了来自其父亲的肾移植。尽管在1996年1月前已进行了4次经皮球囊二尖瓣成形术，但严重的二尖瓣狭窄仍未缓解，她因肺水肿导致呼吸衰竭紧急转送至我院。随后我们决定进行二尖瓣置换术。采用经房间隔上入路，使用19mm的圣犹达医疗公司人工机械瓣，手术成功完成。术后监测血中环孢素水平并将其控制在正常范围内。据我们所知，这是首例肾移植后小儿心脏直视手术成功的病例。
