Aortic Valve Replacement for Aortic Regurgitation in a Patient With Primary Antiphospholipid Syndrome
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概要
- 論文の詳細を見る
A 42-year-old woman with the diagnosis of aortic regurgitation was admitted to hospital for surgical treatment. Ten years ago, primary antiphospholipid syndrome had been diagnosed, and she had a history of recurrent spontaneous abortions and deep vein thrombosis. She was suffering from moderate exertional dyspnea and chest pain. Catheter investigation revealed progressive dilatation of the left ventricle and a deterioration of the ejection fraction. The aortic valve was excised and replaced with a mechanical valve. A specimen of the aortic valve showed localized thickening and shrinkage of the midportion and base of each cusp, with vegetation on the surface. These localized, specific findings suggest that another mechanism may be involved in the cardiac valve pathology in patients with primany antiphospholipid syndrome. No hemostatic or thromboembolic problems were encountered after the surgery, and her postoperative course was uneventful.
- 社団法人日本循環器学会の論文
- 1999-08-20
著者
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Ueda Yuichi
Department of Cardiothoracic Surgery, Nagoya University School of Medicine
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Ueda Yuichi
Department Of Thoracic Surgery Nagoya University
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Ogino Hitoshi
Department Of Bioscience National Cardiovascular Center
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Ogino Hitoshi
Department Of Cardiovascular Surgery National Cardiovascular Canter
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Matsuyama Katsuhiko
Departments Of Cardiovascular Surgery Tenri Hospital
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NOMOTO Takuya
Department of Cardiovascular Surgery, Kyoto University
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Sugita Takaaki
Department of Cardiovascular Surgery, Tenri Hospital
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Yoshioka Tatsuya
Department of Cardiovascular Surgery, Tenri Hospital
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YOSHIMURA Shinichiro
the Department of Cardiovascular Surgery, Tenri Hospital
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MATSUBAYASHI Keiji
Department of Cardiovascular Surgery, Tenri Hospital
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Yoshimura Shinichiro
Department of Cardiovascular Surgery, Tenri Hospital
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Ueda Yuichi
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Ueda Yuichi
Tenri Yorozu Hospital Department Of Cardiovascular Surgery
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Nomoto Takuya
Department Of Cardiovascular Surgery Kyoto University
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Nomoto Takuya
Department Of Cardiovascular Surgery
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Sugita Takaaki
Department Of Cardiovascular Surgery Tenri Hospital
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Yoshioka Tatsuya
Department Of Cardiovascular Surgery Tenri Hospital
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Matsuyama Katsuhiko
Department Of Cardiovascular Surgery Chubu Rosai Hospital
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Matsubayashi Keiji
Division Of Second Surgery Shiga Medical College
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Yoshimura Shinichiro
The Department Of Cardiovascular Surgery Tenri Hospital
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