1.A Case of Aortic Regurgitation in Behcet's Disease.
Hideshi KURATA ; Tadashi OZAKI ; Masahiro KASE ; Haruhiko NAKAYAMA ; Yukio ICHIKAWA ; Hirokazu KAZIWARA ; Jiroh KONDOH ; Akihiko MATSUMOTO
Japanese Journal of Cardiovascular Surgery 1993;22(4):367-371
Aortic valve replacement was carried out for aortic regurgitation in Behçet's disease. A prosthetic valve was fixed using reinforced felt-strip mattress sutures. Difficulty to ensure adequate myocardial protection due to ostial stenosis in the right coronary artery resulted in the occurrence of intraoperative myocardial infarction. Right ventricular assist with the help of a centrifugal pump was employed to obtain successful recovery from right cardiac failure. It was noted that at operation attention should have been paid to the aortic valve and also to abnormalities of the coronary artery and that control of the inflammatory reaction by steroids was essential before and after the operation.
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