[A report of two cases of Carpentier-Edwards pericardial mitral valve malfunction due to neointimal overgrowth expanding to valve cusps].

K Sudo, A Sakai, M Koide, M Abe, K Kodera, M Oosawa
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Abstract

Two cases of Carpentier-Edwards pericardial mitral valve malfunction due to neointimal overgrowth were reported. Case one was a 51-year-old female undergone redo mitral valve replacement at nine years after first operation. Removed valve showed remarkable overgrowth of neointima expanding to the valve cusps. Case two was a 67-year-old male. A valve removed at nine years after first operation and at 1.5 years after recovery of prosthetic valve endocarditis. Removed valve also showed neointimal overgrowth expanding to the valve cusps. Although we experienced only two cases of neointimal overgrowth, these findings were considered being important in durability of Carpentier-Edwards pericardial valve.

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[2例卡彭蒂埃-爱德华兹心包二尖瓣功能障碍,新内膜过度生长扩张至瓣尖]。
本文报告2例因新内膜过度生长导致的心包二尖瓣功能障碍。病例1为51岁女性,第一次二尖瓣置换术后9年再次行二尖瓣置换术。切除的瓣膜显示明显的新生内膜过度生长,扩张到瓣尖。病例二为一名67岁男性。在第一次手术后9年和修复瓣膜心内膜炎后1.5年取出瓣膜。切除的瓣膜也显示新生内膜过度生长,扩张至瓣尖。虽然我们只经历了两例新生内膜过度生长,但这些发现被认为对卡彭迪埃-爱德华兹心包瓣膜的耐用性很重要。
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