高齢者(72歳)の不完全型房室中隔欠損症の1治験例  [in Japanese] Successful Surgical Correction of Incomplete Atrioventricular Septal Defect in a 72-Year-Old Female Patient  [in Japanese]

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Author(s)

Abstract

症例は72歳,女性.脳梗塞の既往をもち,2005年10月から労作時息切れが出現し3日後に呼吸困難となり入院となった.精査で不完全型房室中隔欠損症,左側房室弁逆流,心房細動と診断した.手術は左側房室弁形成術,心房中隔一次孔欠損パッチ閉鎖術を施行した.報告例では高齢者の房室中隔欠損症に対する根治手術例は希であるが,術後経過は順調であり,quality of lifeの著しい改善が認められ,積極的に手術を行うべきであると考える.

We describe surgical repair of an incomplete atrioventricular septal defect (AVSD) in a 72-year-old woman who had cerebral infarction and severe congestive heart failure. A massive left-to-right shunt and severe left atrioventricular valve regurgitation, associated with pulmonary hypertension, were found on transesophageal echocardiography and cardiac catheterization. She underwent complete closure of the cleft and patch closure of the ostium primum defect. We conclude that surgical correction should be considered even in elderly patients with incomplete AVSD.

Journal

  • Japanese Journal of Cardiovascular Surgery

    Japanese Journal of Cardiovascular Surgery 37(3), 189-192, 2008-05-15

    The Japanese Society for Cardiouascular Surgery

References:  18

Codes

  • NII Article ID (NAID)
    110006666455
  • NII NACSIS-CAT ID (NCID)
    AN00193284
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    02851474
  • Data Source
    CJP  NII-ELS 
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