Aortic Valve Repair of Aortic Valve Insufficiency in the Young Woman after Congenital Heart Disease Operation
10.4326/jjcvs.44.45
- VernacularTitle:先天性心疾患手術後の若年女性に発症した大動脈弁閉鎖不全症に対して大動脈弁形成術を施行した1症例
- Author:
Daisuke Futagami
;
Tatsuhiko Komiya
- Publication Type:Journal Article
- Keywords:
aortic valve repair;
cusp extension;
bovine pericardium
- From:Japanese Journal of Cardiovascular Surgery
2015;44(1):45-49
- CountryJapan
- Language:Japanese
-
Abstract:
Interest in aortic valve repair has been growing for more than a decade. Since ross and associates 1) first introduced single cusp enlargement, cusp extension or replacement of aortic valve insufficiency has been used with rheumatic and congenital aortic valve disease. There is more interest on the effectiveness and durability of the leaflet extension technique with autologous pericardium and long-term clinical results. A 29-year-old woman had suffered from aortic valve insufficiency after congenital heart disease operation. Echocardiography and computed tomography showed right cusp shortening with severe aortic valve regurgitation. We perfomed right cusp extension with bovine pericardium and central plication. According to some reports, the stability of autologous pericardium being better than bovine pericardium, but this case could not use a autologous pericardium because of a previous operation. The patient had an uneventful postoperative course and pregnancy became possible.
