Fujii T, Koyama N, Watanabe Y, Shiono N, Yoshihara K, Takanashi Y
Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Oct;46(10):1032-6. doi: 10.1007/BF03217869.
The following paper describes a mitral valve replacement (SJM 27 mm), the patch closure (EPTFE) of an ostium primum atrial septal defect and tricuspid annuloplasty (De Vega's method) in a 64-year-old female patient with an incomplete endocardial cushion defect and mitral stenosis. Surgery revealed thickened, mitral valve leaflets and the presence of a cleft, findings similar to those observed in case of rheumatic degeneration. Investigation of patient hemodynamics confirmed a diagnosis of Lutembacher syndrome and a lower with left ventricle volume. After surgery, the volume of left ventricle increased and the patients clinical course was uneventful.
以下论文描述了一名64岁女性患者的二尖瓣置换术（圣犹达医疗27毫米）、原发孔房间隔缺损的补片闭合术（膨体聚四氟乙烯）和三尖瓣环成形术（德维加法），该患者患有不完全性心内膜垫缺损和二尖瓣狭窄。手术显示二尖瓣叶增厚并有裂缺，这些发现与风湿性退变时观察到的相似。对患者血流动力学的研究证实了鲁登巴赫综合征的诊断以及左心室容积降低。术后，左心室容积增加，患者临床过程平稳。
