Translocation of the Aortic Valve in a Patient with Calcified Aortic Valvular Stenosis and Unstable Angina.
10.4326/jjcvs.26.265
- VernacularTitle:石灰化大動脈弁狭窄症と不安定狭心症に対するｔｒａｎｓｌｏｃａｔｉｏｎ手術の１治験例
- Author:
Akihiko Sasaki
;
Tomohiro Umami
;
Hirosato Doi
;
Kenji Sugiki
;
Takemi Ohno
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(4):265-267
- CountryJapan
- Language:Japanese
-
Abstract:
A 64-year-old woman with a diagnosis of calcified aortic valvular stenosis and unstable angina, had calcification of the aortic valve reaching the aortic annulus, and the ascending aorta had some calcifications in its lateral and posterior walls. There was a 70mmHg pressure gradient in the aortic valve and coronary angiogram showed 90% stenosis of right coronary artery #1 and total occlusion of left circumflex artery #13 perfused with collateral flow from right coronary artery. The translocation of the aortic valve was carried out. The postoperative course was uneventful and postoperative angiograms showed good patency of the double saphenous vein grafts and no abnormality of the composite graft anastomosis. Translocation of the aortic valve is effective in patients with stenotic aortic annulus caused by calcified aortic valve, although it is mainly indicated in infective endocarditis.
