Surgical Experience of a Partial Atrioventricular Septal Defect in an Elderly Patient: A Case Report
Surgical Experience of a Partial Atrioventricular Septal Defect in an Elderly Patient: A Case Report作者机构：Department of Cardiovascular Surgery Fuji Heavy Industries Health Insurance Society Ota Memorial Hospital Ota Japan Department of Cardiovascular Surgery Kameda Medical Center Chiba Japan
出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)
年 卷 期：2013年第3卷第2期
页 面：31-33页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Partial Atrioventricular Septal Defect Incomplete Endocardial Cushion Defect Mitral Regurgitation Elderly Patient Repair
摘 要：The following paper describes patch closure (bovine pericardial sheet) of an ostium primum atrial septal defect and mitral valve repair (sutured mitral valve cleft + autologous pericardial annuloplasty + Alfieri’s method) in a 50-year-old man. He had been perfectly well until he was brought to the emergency room because of acute heart failure. Chest radiography revealed right-side heart enlargement. Electrocardiography indicated atrial flutter. Echocardiography revealed a large ostium primum atrial septal defect and moderate mitral regurgitation. The pulmonary-to-systemic blood flow ratio was 3.24. First, cardiologists performed catheter ablation of the cavotricuspid isthmus for atrial flutter. We performed patch closure of an ostium primum atrial septal defect and mitral valve repair after the patient’s heart failure was under control. The patient was discharged 13 days postoperatively in a satisfactory condition without any critical complications.
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