| Mitral Valve Repair in an Adult
Case of Marfan's Syndrome |
(Department of Cardiovascular Surgery, Shin-Koga
Hospital, Kurume, Japan)
| Masaru Yoshikai |
Junichi Murayama |
Keiji Kamohara |
| Yasushi Hisamatsu |
|
|
|
We present a case of successful
mitral valve repair in a 38-year-old woman with Marfan's syndrome.
Prolapse in a redundant billowing posterior mitral leaflet caused
severe mitral valve regurgitation. Only slight dilatation of
the sinus Valsalva and grade I aortic regurgitation were recognized.
At operation, prolapsed portions seen on both sides of the middle
scallop were quadrangularly resected. The sliding leaflet technique
reduced the height of the posterior mitral leaflet to prevent
systolic anterior motion of the mitral valve, which could be
expected to occur after the operation. The anterior extremities
of the Carpentier-Edwards annuloplasty ring were bent upward
to accommodate the shape of the anterior mitral leaflet. Mitral
valve regurgitation disappeared postoperatively, and she is now
doing well 3 years after the operation. In general, isolated
mitral valve regurgitation appears in relatively young patients
with Marfan's syndrome, and these patients are at high risk of
developing aortic dissection and aortic regurgitation. Therefore,
mitral valve repair should be performed to improve the quality
of life after the operation, and to reduce the risk of bleeding,
which may be a lethal complication in aortic surgery.
Jpn. J. Cardiovasc. Surg. 33: 42 -44 (2004) |
|
