Cabrol, Technique Performed on a Patient with Corrected Transposition of the Great Arteries, Complicated by Annuloaortic Ectasia and Aortic Regurgitation.
10.4326/jjcvs.27.104
- VernacularTitle:修正大血管転位症（ＳＬＬ）に合併したＡｎｎｕｌｏａｏｒｔｉｃ ｅｃｔａｓｉａ，大動脈弁閉鎖不全に対してＣａｂｒｏｌ手術を施行した１例
- Author:
Noriyoshi Kutsukata
;
Koichi Terada
;
Masami Ochi
;
Tetsuo Asano
;
Masafumi Hioki
;
Shigeo Tanaka
- Publication Type:Journal Article
- Keywords:
annuloaortic ectasia
- From:Japanese Journal of Cardiovascular Surgery
1998;27(2):104-106
- CountryJapan
- Language:Japanese
-
Abstract:
Cabrol's technique was performed on a patient with corrected transposition of the great arteries (SLL), complicated by annuloaortic ectasia (AAE) and aortic regurgitation (AR). The patient, a 52-year-old male, complained mainly of dyspnea on physical exertion. In 1983, he underwent implantation of a pacemaker to treat advanced atrioventricular block. In 1994, his cardiac function deteriorated to NYHA III. Cardiac catheter examinations exhibited 2nd degree Seller's aortic valve insufficiency and 2nd degree insufficient closure of the left atrioventricular valve. The patient was Cardell classification B3, with a Shaher Type 4 coronary artery. A composite graft was made using a 27mm St. Jude Medical valve and a 30mm woven Dacron graft. The left atrioventricular valve had three leaflets, accessible from the right atrium using the septal approach. Kay's method was used to suture the posterior leaflet and reduce regurgitation. The patient has made favorable progress during the two-year follow-up period.
