A Case of Double Valve Replacement 22 Years after the First Aortic Valve Replacement in a Patient with Swyer-James Syndrome.
10.4326/jjcvs.31.411
- VernacularTitle:Ｓｗｙｅｒ‐Ｊａｍｅｓ症候群に行った２２年目の大動脈弁再弁置換を含む二弁置換術の１例
- Author:
Hiroo Shikata
;
Shigeru Sakamoto
;
Yasuhiro Nagayoshi
;
Hisateru Nishizawa
;
Michitaka Kouno
;
Katsunori Takeuchi
;
Junichi Matsubara
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(6):411-413
- CountryJapan
- Language:Japanese
-
Abstract:
A 53-year-old woman was admitted because of cardiac failure caused by mitral valve stenosis and regurgitation. She had been treated by an aortic valve replacement with a Björk-Shiley convexo-concave valve (21mm) 22 years previously in our institute. Her clinical symptoms and the histological findings of the lung specimen from the operation led to a diagnosis of Swyer-James syndrome. The diagnosis was confirmed by pulmonary blood flow scintigraphy on the present admission. With her informed consent, we treated her cardiac disease by mitral valve replacement and a second aortic valve replacement was carried out because of the structural brittleness of the Björk-Shiley convexo-concave valve. She was discharged from our institute after the operation without any complications.
