1.A Case of Aortic Valve Plasty for Non-coronary Cusp Fracture after Infective Endocarditis
Tomokazu Furukawa ; Tatsuhiko Komiya ; Nobuyuki Tamura ; Genichi Sakaguchi ; Taira Kobayashi ; Akihito Matsushita ; Gengo Sunagawa ; Takashi Murashita
Japanese Journal of Cardiovascular Surgery 2009;38(1):35-39
A 20-year-old male was referred to our hospital to undergo operative treatment due to aortic valve insufficiency which had gradually worsened. The patient's chief complaint was a loss of breath upon effort which had progressively worsened after undergoing aortic valve plasty (AVP) for aortic valve insufficiency with infective endocarditis at another institution. AVP by the cusp extension method had been performed because of the patient's youth and there had been no change in the morbid state, except for the presence of a non-coronary cusp. In addition, the aortic valve insufficiency was controlable and postoperative course was also excellent. The cusp extension method was therefore considered to be an appropriate procedure for this case since it would allow the patient to return it to a state with a more normal heart, since the valve organization after this procedure would be able to reach a maximum level.
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