| A Case of Double Valve Replacement
22 Years after the First Aortic Valve Replacement in a Patient
with Swyer-James Syndrome |
(Department of Thoracic and Cardiovascular Surgery*
and Department of Chest Surgery**, Kanazawa Medical University,
Ishikawa, Japan)
| Hiroo Shikata*,** |
Shigeru Sakamoto* |
Yasuhiro Nagayoshi* |
| Hisateru Nishizawa* |
Michitaka Kouno* |
Katsunori Takeuchi* |
| Junichi Matsubara* |
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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.
@Jpn. J. Cardiovasc. Surg. 31F411-413 (2002) |
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