Concomitant operation for pulmonary artery aneurysm and pulmonary valve regurgitation

被引：2

作者：

Takahashi, Yosuke ^{[1
]}

Shibata, Toshihiko ^{[1
]}

Sakaguchi, Masanori ^{[1
]}

Fujii, Hiromichi ^{[1
]}

Morisaki, Akimasa ^{[1
]}

Sakon, Yoshito ^{[1
]}

Yamane, Kokoro ^{[1
]}

Kishimoto, Noriaki ^{[1
]}

Murakami, Takashi ^{[1
]}

机构：

[1] Osaka City Univ, Dept Cardiovasc Surg, Postgrad Sch Med, Abeno Ku, 1-4-3 Asahimachi, Osaka 5458585, Japan

来源：

GENERAL THORACIC AND CARDIOVASCULAR SURGERY | 2020年 / 68卷 / 08期

关键词：

Pulmonary aneurysm; Pulmonary valve reconstruction; Ozaki procedure; Pericardium; RECONSTRUCTION;

D O I：

10.1007/s11748-020-01315-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 48-year-old man with a pulmonary artery aneurysm was referred to our hospital. Enhanced computed tomography revealed an aneurysm extending from the main trunk to the bilateral pulmonary branch (maximum diameter 6.4 cm) of the artery. Echocardiography revealed moderate pulmonary valve (PV) regurgitation with right ventricle dilatation. Surgery was indicated because of the pulmonary aneurysm and dyspnea on exertion due to moderate PV regurgitation. Intra-operatively, two cusps were found to be normal in shape, whereas a third left-facing cusp was thick and resembled a small ridge. Therefore, we created one neo-cusp with autologous pericardium using a custom-made template and sutured it along a new, predetermined annulus. We then replaced the pulmonary aneurysm with a T-shaped artificial graft. Postoperative echocardiography showed satisfactory movement of the neo-cusp without pulmonary regurgitation and reduced right ventricular size.

引用

页码：855 / 857

页数：3

共 9 条

[1] Pulmonary valve cusp augmentation with autologous pericardium may improve early outcome for tetralogy of Fallot [J].