Mitral Valve Replacement for Mitral Regurgitation with Annular Calcification after Esophageal Resection and Retrosternal Gastric Tube Reconstruction
10.4326/jjcvs.39.216
- VernacularTitle:胸骨後経路胃管再建による食道癌手術後の僧帽弁輪石灰化を伴う僧帽弁逆流，三尖弁逆流症例に対する右傍胸骨アプローチによる1治験例
- Author:
Naoki Kanemitsu
;
Masaki Aota
;
Takeichiro Nakane
;
Takahide Takeda
;
Yutaka Konishi
- Publication Type:Journal Article
- Keywords:
retrosternal gastric tube reconstruction;
esophageal cancer;
right parasternal approach;
mitral valve replacement;
mitral annular calcification
- From:Japanese Journal of Cardiovascular Surgery
2010;39(4):216-219
- CountryJapan
- Language:Japanese
-
Abstract:
A 79-year-old man developed congestive heart failure. He was given a diagnosis of severe mitral regurgitation with calcification of the posterior mitral annulus and secondary tricuspid regurgitation. He had a history of esophageal resection with retrosternal gastric tube reconstruction about 20 years previously. We replaced the mitral valve with a mechanical prosthesis and performed tricuspid ring annuloplasty through a right parasternal approach. We did not risk resecting the calcified annulus, but fixed the prosthesis and annulus with the equine pericardium in between as a cushion and collar, to prevent perivalvular leakage. The postoperative course was uneventful.
