Aortic and mitral valve repair for anterior mitral leaflet perforation caused by severe aortic regurgitation.

Journal of visualized surgery Pub Date : 2018-05-11 eCollection Date: 2018-01-01 DOI:10.21037/jovs.2018.04.16
Kristof De Brabandere, Jens-Uwe Voigt, Stephen Rex, Bart Meuris, Peter Verbrugghe
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引用次数: 2

Abstract

A 23-year-old man presented with acute onset of dyspnea on exert. Preoperative echocardiography showed a severe regurgitation of the bicuspid aortic valve (due to prolapse of the fused cusp) creating a jet directed through the defect in the anterior leaflet of the mitral valve. Both valves were repaired. Endocarditis was excluded with cultures and polymerase chain reaction (PCR). Postoperative course was uneventful.

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主动脉瓣及二尖瓣修补术治疗严重主动脉反流引起的二尖瓣前叶穿孔。
一名23岁男性,在运动时出现急性呼吸困难。术前超声心动图显示二尖主动脉瓣严重反流(由于融合瓣尖脱垂),形成一个直接穿过二尖瓣前叶缺陷的射流。两个阀门都修好了。通过培养和聚合酶链反应(PCR)排除心内膜炎。术后过程顺利。
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