Ogino H, Ueda Y, Morioka K, Matsubayashi K, Nomoto T
Department of Cardiovascular Surgery, Tenri Hospital, Japan.
Ann Thorac Surg. 1997 Oct;64(4):1179-81. doi: 10.1016/s0003-4975(97)00824-2.
We repaired the mitral valve in a patient with severe porcelain aorta. Significant mitral regurgitation developed in a 66-year-old woman with heavy calcification throughout the whole aorta. At operation, cardiopulmonary bypass was properly established by combined axillary and femoral arterial cannulations for sufficient systemic flow. Likewise, the combination of a superior mitral approach and profound hypothermic fibrillatory arrest in conjunction with low-flow cardiopulmonary bypass allowed us to repair the mitral valve successfully.
我们为一名患有严重瓷化主动脉的患者修复了二尖瓣。一名66岁女性，整个主动脉重度钙化，出现了显著的二尖瓣反流。手术时，通过腋动脉和股动脉联合插管正确建立体外循环，以确保足够的全身血流。同样，二尖瓣上入路与深度低温颤动停搏相结合，再加上低流量体外循环，使我们成功修复了二尖瓣。
