Diagnosis of Structural Deterioration in an Aortic Bioprosthetic Valve by Multidetector Row Computed Tomography: Report of a Case
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概要
- 論文の詳細を見る
A 32-year-old female patient presented with shortness of breath. The patient had received aortic valve replacement with a 25-mm bioprosthetic valve at the age of 22, and had had two babies, postoperatively. Ten years later, echocardiography showed the calcifi ed bioprosthetic valve with a high peak pressure gradient (70 mmHg) and a reduced valve orifice area (0.46 cm2). Electrocardiographically gated multidetector row computed tomography (ECG-gated MDCT) clearly demonstrated calcifi ed bioprosthetic cusps with reduced mobility, and the valve orifi ce area was measured to be 0.64 cm2 by direct planimetry. These fi ndings observed by ECG-gated MDCT were confi rmed at reoperation. This is the fi rst reported reoperation case of aortic structural valve deterioration clearly visualized by ECG-gated MDCT.
著者
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Arinaga Kouichi
Department Of Surgery Kurume University School Of Medicine
-
Akasu Koji
Department Of Cardiovascular Surgery School Of Medicine Fukuoka University
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Tanaka Hiroyuki
Department Of Anesthesia And Clinical Research Institute National Hospital Organization Kyushu Medic
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Arinaga Kouichi
Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan
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Tanaka Hiroyuki
Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan
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Teshima Hideki
Cardiovascular Surgery, Chikamori Hospital Heart Center, Kochi, Japan
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Aoyagi Shigeaki
Cardiovascular Surgery, Munakata Suikokai General Hospital, Fukuoka, Japan
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Akasu Koji
Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan
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