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

四方 裕夫, 坂本 滋, 永吉 靖弘, 西澤 永晃, 河野 通孝, 武内 克憲, 松原 純一

doi:10.4326/jjcvs.31.411

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

DOI 参考文献13件

四方裕夫

金沢医科大学胸部心臓血管外科金沢医科大学呼吸器外科
坂本滋

金沢医科大学胸部心臓血管外科
永吉靖弘

金沢医科大学胸部心臓血管外科
西澤永晃

金沢医科大学胸部心臓血管外科
河野通孝

金沢医科大学胸部心臓血管外科
武内克憲

金沢医科大学胸部心臓血管外科
松原純一

金沢医科大学胸部心臓血管外科

書誌事項

タイトル別名

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

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説明

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.