Japanese Journal of Cardiovascular Surgery Vol46,No6

Concomitant Valve Surgery and Long Distal Bypass for Severe Mitral Regurgitation and Critical Limb Ischemia
Mari Chiyoya* Satoshi Taniguchi* Ryousuke Kowatari*
Tomonori Kawamura* Norihiro Kondo* Masahito Minakawa*
Ikuo Fukuda*

(Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine*, Aomori, Japan)

A 75-year-old man with underlying arteriosclerosis obliterans presented with acute heart failure secondary to rest pain of the right lower extremity. Echocardiogram showed severe mitral regurgitation, moderate tricuspid regurgitation and a low cardiac function(ejection fraction:27%). Right toe gangrene developed in association with continuous acute heart failure. He underwent mitral valve replacement, tricuspid annuloplasty, right common femoral artery-posterior tibial artery bypass and amputation of the right toes in single-stage surgery. There were no major complications during his hospital stay. After surgery, his symptoms significantly improved.


Jpn. J. Cardiovasc. Surg. 46:325-329(2017)

Keywords:mitral valve replacement;tricuspid annuloplasty;critical limb ischemia;distal bypass;arteriosclerosis obliteration

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