- VernacularTitle:左房壁高度石灰化を伴う僧帽弁狭窄症患者に対して広範囲左房内膜摘除を要した1例
- Author:
Yuri Yoshida
;
Fumiaki Kimura
;
Natsuya Ishikawa
;
Hiroto Kitahara
;
Hiroyuki Kamiya
- Keywords: atrial calcification; rheumatic heart disease; mitral valve stenosis; mitral valve replacement
- From:Japanese Journal of Cardiovascular Surgery 2017;46(5):231-234
- CountryJapan
- Language:Japanese
-
Abstract:
A 70-year-old woman, who had a history of a percutaneous transvenous mitral commissurotomy for rheumatic heart disease 34 years previously, was admitted with progressive right heart failure. Massive calcification of the left wall was observed on multidetector CT. She underwent a mitral valve replacement, tricuspid annuloplasty and permanent pacemaker implantation. Massive calcification of the left atrial wall is a rare condition, and constitutes a major complication and risk to mitral valve surgery because of the difficulty in entering the left atrium, potential embolization, and impaired hemostasis.