A Case of Double Valve Replacement 22 Years after the First Aortic Valve Replacement in a Patient with Swyer-James Syndrome.

DOI 13 References
  • Shikata Hiroo
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University Department of Chest Surgery, Kanazawa Medical University
  • Sakamoto Shigeru
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University
  • Nagayoshi Yasuhiro
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University
  • Nishizawa Hisateru
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University
  • Kouno Michitaka
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University
  • Takeuchi Katsunori
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University
  • Matsubara Junichi
    Department of Thoracic and Cardiovascular Surgery, Kanazawa Medical University

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  • Ｓｗｙｅｒ‐Ｊａｍｅｓ症候群に行った２２年目の大動脈弁再弁置換を含む二弁置換術の１例

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A 53-year-old woman was admitted because of cardiac failure caused by mitral valve stenosis and regurgitation. She had been treated by an aortic valve replacement with a Björk-Shiley convexo-concave valve (21mm) 22 years previously in our institute. Her clinical symptoms and the histological findings of the lung specimen from the operation led to a diagnosis of Swyer-James syndrome. The diagnosis was confirmed by pulmonary blood flow scintigraphy on the present admission. With her informed consent, we treated her cardiac disease by mitral valve replacement and a second aortic valve replacement was carried out because of the structural brittleness of the Björk-Shiley convexo-concave valve. She was discharged from our institute after the operation without any complications.

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