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[应用EPTFE缝线置换腱索及Carpentier-Edwards环技术修复腱索断裂所致二尖瓣后叶广泛脱垂的病例报告]

[A case report of mitral valve repair of broad posterior leaflet prolapse due to ruptured chordae tendinea by replacement of chordae tendineae with EPTFE sutured and Carpentier-Edwards ring techniques].

作者信息

Kashiwagi J, Takemura T, Sato K, Yamamoto N

机构信息

Department of Cardiovascular Surgery, Higashi-Nagano National Hospital, Japan.

出版信息

Kyobu Geka. 1997 Nov;50(12):1045-7.

PMID:9388353
Abstract

A 68-year-old woman with mitral valve regurgitation due to ruptured chordae tendineae of posterior leaflet underwent mitral valve repair by replacement of chordae tendineae with EPTFE sutures and Carpentier-Edwards ring techniques. Preoperative study showed massive mitral regurgitation and moderate tricuspid regurgitation with CTR 54% of chest X-ray. The postoperative course was not eventful. Postoperative study showed trivial mitral and trivial tricuspid regurgitation. Postoperative CTR was 45%. Mitral valve repair by these techniques could be modified and applicable to mitral valve regurgitation due to ruptured chordae tendineae of posterior leaflet. There was no complication during follow-up period of 8 months.

摘要

一名68岁女性因后叶腱索断裂导致二尖瓣反流,采用EPTFE缝线和Carpentier-Edwards环技术置换腱索进行二尖瓣修复。术前检查显示大量二尖瓣反流和中度三尖瓣反流,胸部X线检查三尖瓣反流率为54%。术后过程顺利。术后检查显示轻度二尖瓣反流和轻度三尖瓣反流。术后三尖瓣反流率为45%。采用这些技术进行二尖瓣修复可进行改良,适用于后叶腱索断裂导致的二尖瓣反流。在8个月的随访期内无并发症发生。

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