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- Omoto Tadashi
- Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Showa University, Tokyo, Japan
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- Hirota Masanori
- Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Showa University, Tokyo, Japan
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- Ishikawa Noboru
- Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Showa University, Tokyo, Japan
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- Tedoriya Takeo
- Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Showa University, Tokyo, Japan
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Open heart operations for patients with myelodysplastic syndrome (MDS) are associated with infective and bleeding complications. We report a 67-year-old woman with rheumatic, severe mitral regurgitation and mitral stenosis associated with MDS who underwent a mitral valve (MV) repair. Commissurotomy was performed in the anterior commissure. Autologous pericardial patch treated with glutaraldehyde solution was prepared. The anterior leaflet was completely detached from the posterior to the anterior commissure. The anterior leaflet was augmented by autologous pericardial patch treated with glutaraldehyde solution and three pairs of artificial chordae were implanted. Postoperative transesophageal echocardiography showed an increase in the MV orifice and less than trivial mitral regurgitation. Two years after the operation, the patient has normal sinus rhythm with no deterioration of the MV lesion by transthoracic echocardiography. Although the feasibility of MV repair is low in patients with restrictive pathology due to rheumatic disease, MV repair may be preferred in patients with MDS.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 17 (6), 614-617, 2011
Annals of Thoracic and Cardiovascular Surgery 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390282679706167936
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- NII論文ID
- 10030235581
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- NII書誌ID
- AA11035352
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- ISSN
- 21861005
- 13411098
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可