A Case of Reoperation for Mitral and Tricuspid Regurgitations with Severely Calcified Aorta by Hypothermic Ventricular Fibrillation
10.4326/jjcvs.34.212
- VernacularTitle:大動脈高度石灰化を伴う僧帽弁閉鎖不全症，三尖弁閉鎖不全症に対し心室細動下に再手術を施行した１例
- Author:
Shingo Taguchi
;
Yoshimasa Sakamoto
;
Hiromitsu Takakura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(3):212-215
- CountryJapan
- Language:Japanese
-
Abstract:
A 71-year-old man who had mitral and tricuspid regurgitations with severely calcified aorta had been called off an elective operation 4 years ago, because cardiopulmonary bypass (CPB) could not be established intraoperatively operation. This time, mitral valve replacement and tricuspid annuloplasty was performed by left axillary arterial cannulation and moderate hypothermic ventricular fibrillation after resternotomy. Calcification of the aorta is sometimes more severe than detected by preoperative CT scan, as in the present case. Therefore, it is necessary and recommended for cases of calcified ascending aorta to be fully examined and, based on the results decided alternative modalities.
