小児僧帽弁閉鎖不全に対する僧帽弁置換症例の検討

概要

論文の詳細を見る
Mitral regurgitation in chilldren is not common and congenital mitral regurgitation is especially rare. Four children with mitral valve replacement are reported. The age of patients ranged from 3 to 14 years. One was rheumatic valvular disease and the others considered to be congenital. Two patients were associated with PDA. Mitral regurgitation was found by cardiac catheterization and UCG. By the reason that the patients were troubled by congestive heart failure or growth returdation, open heart surgery was performed. Since the valve plasty procedure seemed unsuitable in all cases, mitral valve replacement with Bjork-Shiley valve was performed in three and with Carpentier-Edward valve in one patient. After surgery, anticoagulant therapy was employed in three patients with Bjork-Shiley valve except one with porcine Xenograft. These patients have been followed up for from 9 months to 6 years, and the result of surgery was satisfactory.
日本小児外科学会の論文
1980-10-20