Double Valve Replacement for Severe Insufficiency of the Aortic and Mitral Valves in an Adult with Left Ventricular Noncompaction
10.4326/jjcvs.35.168
- VernacularTitle:左室心筋緻密化障害を伴う大動脈弁・僧帽弁閉鎖不全症成人例に対する二弁置換術の経験
- Author:
Hiromichi Sonoda
;
Kunihiko Jouo
;
Masayoshi Umesue
;
Koji Matsuzaki
;
Kanzi Matsui
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(3):168-172
- CountryJapan
- Language:Japanese
-
Abstract:
Left ventricular noncompaction (LVNC) is believed to represent an arrest in the normal process of myocardial compaction, resulting in persistence of both hyper-trabeculation and intratrabecular recess within the left ventricle. High mortality is the important clinical feature of this disease. LVNC in adult cases has been rarely, but occasionally, reported, however, LVNC with insufficiency of both the aortic and mitral valves has not been reported to our knowledge. Herein, we describe a 62-year-old man with LVNC and the severe insufficiency of the aortic and mitral valves, who was successfully operated upon with aortic and mitral valve replacement using mechanical valves. Although the postoperative course was uneventful, careful attention is mandatory for the possible left ventricular dysfunction due to LVNC.
