|
Mitral Valve Replacement for Mitral Regurgitation with Annular Calcification after Esophageal Resection and Retrosternal Gastric Tube Reconstruction
|
（Department of Cardiovascular Surgery, Japan Red Cross Wakayama Medical Center, Wakayama, Japan, and Present address:Department of Cardiovascular Surgery, Kyoto University Hospital*, Kyoto, Japan）
| Naoki Kanemitsu |
Masaki Aota |
Takeichiro Nakane |
| Takahide Takeda* |
Yutaka Konishi |
|
|
A 79-year-old man developed congestive heart failure. He was given a diagnosis of severe mitral regurgitation with calcification of the posterior mitral annulus and secondary tricuspid regurgitation. He had a history of esophageal resection with retrosternal gastric tube reconstruction about 20 years previously. We replaced the mitral valve with a mechanical prosthesis and performed tricuspid ring annuloplasty through a right parasternal approach. We did not risk resecting the calcified annulus, but fixed the prosthesis and annulus with the equine pericardium in between as a cushion and collar, to prevent perivalvular leakage. The postoperative course was uneventful.
Jpn. J. Cardiovasc. Surg. 39:216-219（2010）
Keywords：retrosternal gastric tube reconstruction, esophageal cancer, right parasternal approach, mitral valve replacement, mitral annular calcification
|
|
