Successful Surgical Repair of Prosthetic Valve Dehiscence Associated with Aortitis Syndrome in the Healing Phase.
10.4326/jjcvs.26.268
- VernacularTitle:大動脈弁再置換術を要した非活動性大動脈炎症候群の一治験例
- Author:
Takeshi Shimamoto
;
Katsuhiko Matsuda
;
Tatsuro Sato
;
Tadashi Ikeda
;
Takaaki Koshiji
;
Kazunobu Nishimura
;
Shinichi Nomoto
;
Toshihiko Ban
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1997;26(4):268-270
- CountryJapan
- Language:Japanese
-
Abstract:
A 43-year-old woman underwent aortic valve replacement for aortic regurgitation causing aortitis syndrome. The postoperative course had been uneventful and inflammation was controlled by steroid therapy. She developed a moderate degree of dyspnea with cardiomegaly. Two years after the first aorta valve replacement (AVR), severe aortic regurgitation was observed on both echocardiography and aortography. Dehiscence of the prosthetic valve was suspected and an emergency operation was performed. To secure the reimplanted prosthetic valve, we applied the technique of passing felt-pledgeted sutures through the aortic wall in the vicinity to the right coronary cusp and the noncoronary cusp and others through the left coronary cusp with everting mattress sutures. The postoperative course of the second AVR has been uneventful for two months. Since prosthetic valve detachment can occur even if inflammation of aortitis is well controlled, strict management of inflammation is recommended for a prolonged period to prevent reccurence of aortitis and subsequent valve dehiscence.
