Mitral Valve Replacement 8 Years after Left Pneumonectomy
10.4326/jjcvs.33.395
- VernacularTitle:左肺全摘術後症例に対して僧帽弁置換術を施行した1例
- Author:
Hideki Morita
;
Hideo Yoshida
;
Toru Morimoto
;
Teiji Jinno
;
Mamoru Tago
;
Masataka Yamane
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(6):395-398
- CountryJapan
- Language:Japanese
-
Abstract:
We report mitral valve replacement (MVR) in a patient who had undergone left pneumonectomy for thoracic empyema 8 years previously. A 75-year-old man had heart failure due to mitral valve regurgitation and medication therapy was initiated. Although the heart had shifted to the right side, MVR was performed using a SJM valve with primary median sternotomy. The tracheal intubation tube was removed 17h after the operation, and the patient was discharged on the 43rd postoperative day. Careful preoperative assessment, preoperative control of heart failure, and careful attention to perioperative fluid management are important components of successful clinical management.