Aortic Valve Reconstruction (AVrC) Using Autologous Pericardium for a Patient with Severe Aortic Stenosis and Chronic Renal Failure Prior to Kidney Transplant Surgery
10.4326/jjcvs.43.92
- VernacularTitle:生体腎移植術前の重症 AS に対する自己心膜による大動脈弁再建術の経験
- Author:
Keisuke Watadani
;
Naomichi Uchida
;
Keijiro Katayama
;
Shinya Takahashi
;
Taiichi Takasaki
;
Tatsuya Kurosaki
;
Katsuhiko Imai
;
Taijiro Sueda
- Publication Type:Journal Article
- Keywords:
aortic valve stenosis;
aortic valve replacement;
aortic valve reconstruction;
dialysis;
kidney transplantation
- From:Japanese Journal of Cardiovascular Surgery
2014;43(2):92-95
- CountryJapan
- Language:Japanese
-
Abstract:
We performed aortic valve reconstruction (AVrC) using autologous pericardium for a patient with severe aortic stenosis and chronic renal failure, prior to kidney transplantation. The patient received kidney transplantation in the early phase after cardiac surgery. The case was a 61-year-old man with severe aortic valve stenosis who received dialysis due to chronic renal failure. We performed AVrC using autologous pericardium for the following reasons. Anticoagulant therapy is not desirable because of the need to perform kidney transplantation in the early phase after cardiac surgery. Implantation of prosthesis was not desirable because the patient requires oral immunosuppression therapy after kidney transplantation. There was no significant postoperative pressure gradient of the aortic valve orifice or aortic valve regurgitation (AR). The patient received kidney transplantation 113 days after surgery. AVrC using autologous pericardium was feasible for aortic stenosis patients in a patient waiting to receive kidney transplantation because anticoagulation therapy is not necessary after AVrC.
