心室中隔欠損症の自然閉鎖が原因と考えられる右冠尖変形による大動脈弁閉鎖不全症に対するRoss手術の1例
44歳男性．小学生時に心雑音を聴取されたが，精査は行われなかった．胸痛，動悸を主訴に当院を受診し，経胸壁心エコーで左室機能低下と重症大動脈弁閉鎖不全症と診断されたため，手術加療を行った．Resuspension法を用いた大動脈弁形成を試みたが，心室中隔欠損症の自然閉鎖のためRCC弁輪部が変形しており形成は困難と判断し，Ross手術に移行した．自己肺動脈弁を採取し大動脈弁位に縫着し，右室流出路はステントレス生体弁とウシ心のう膜パッチロールにて再建した．術後は問題なく経過し，良好な血行動態が得られ退院した．...
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| Published in | 日本心臓血管外科学会雑誌 Vol. 53; no. 3; pp. 119 - 122 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
特定非営利活動法人 日本心臓血管外科学会
15.05.2024
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-1474 1883-4108 |
| DOI | 10.4326/jjcvs.53.119 |
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| Abstract | 44歳男性．小学生時に心雑音を聴取されたが，精査は行われなかった．胸痛，動悸を主訴に当院を受診し，経胸壁心エコーで左室機能低下と重症大動脈弁閉鎖不全症と診断されたため，手術加療を行った．Resuspension法を用いた大動脈弁形成を試みたが，心室中隔欠損症の自然閉鎖のためRCC弁輪部が変形しており形成は困難と判断し，Ross手術に移行した．自己肺動脈弁を採取し大動脈弁位に縫着し，右室流出路はステントレス生体弁とウシ心のう膜パッチロールにて再建した．術後は問題なく経過し，良好な血行動態が得られ退院した． |
|---|---|
| AbstractList | 44歳男性．小学生時に心雑音を聴取されたが，精査は行われなかった．胸痛，動悸を主訴に当院を受診し，経胸壁心エコーで左室機能低下と重症大動脈弁閉鎖不全症と診断されたため，手術加療を行った．Resuspension法を用いた大動脈弁形成を試みたが，心室中隔欠損症の自然閉鎖のためRCC弁輪部が変形しており形成は困難と判断し，Ross手術に移行した．自己肺動脈弁を採取し大動脈弁位に縫着し，右室流出路はステントレス生体弁とウシ心のう膜パッチロールにて再建した．術後は問題なく経過し，良好な血行動態が得られ退院した． |
| Author | 安, 健太 林, 裕之 林, 太郎 吉谷, 信幸 三里, 卓也 大北, 裕 |
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| References | 6) David TE, Woo A, Maganti M et al. When is the Ross operation a good option to treat aortic valve disease?. J Cardiovasc Surg 2010; 139: 68-75. 5) Aboud A, Sievers HH, Esminger S et al. Long-Term Outcomes of Patients Undergoing the Ross Procedure. J Am Coll Cardiol 2021; 77: 1412-22. 2) Mazine A, El-Hamamsy I, David TE et al. Ross Procedure in Adults for Cardiologists and Cardiac Surgeons. J Am Coll Cardiol 2018; 72: 2761-77. 3) Raja SG, Atamanyuk I, Tsang V et al. In young patients with rheumatic aortic regurgitation compared to non-rheumatics is a Ross operation associated with increased incidence of autograft failure?. Interact Cardio Vasc Thorac Surg 2010; 10: 600-4. 7) Forcillo J, Cikirikcioglu M, El-Hamamsy I et al. The Ross procedure: total root technique. Multimed Man Cardiothorac Surg 2014; p.mmu018. 8) Sowmya R, Nicolas D, Dietmar B et al. Pulmonary-Valve Replacement in Adults; Results With the Medtronic Freestyle Valve. Ann Thorac Surg 2015; 100: 1047-53. 4) El-Hamamsy I, Toyoda N, Adams DH et al. Propensity-Matched Comparison of the Ross Procedure and Prosthetic aortic Valve Replacement in Adults. J Am Coll Cardiol 2022; 79: 805-15. 1) Ross DN. Surgical reconstruction of the aortic valve. Lancet 1963; 1; 571-4. |
| References_xml | – reference: 4) El-Hamamsy I, Toyoda N, Adams DH et al. Propensity-Matched Comparison of the Ross Procedure and Prosthetic aortic Valve Replacement in Adults. J Am Coll Cardiol 2022; 79: 805-15. – reference: 5) Aboud A, Sievers HH, Esminger S et al. Long-Term Outcomes of Patients Undergoing the Ross Procedure. J Am Coll Cardiol 2021; 77: 1412-22. – reference: 3) Raja SG, Atamanyuk I, Tsang V et al. In young patients with rheumatic aortic regurgitation compared to non-rheumatics is a Ross operation associated with increased incidence of autograft failure?. Interact Cardio Vasc Thorac Surg 2010; 10: 600-4. – reference: 8) Sowmya R, Nicolas D, Dietmar B et al. Pulmonary-Valve Replacement in Adults; Results With the Medtronic Freestyle Valve. Ann Thorac Surg 2015; 100: 1047-53. – reference: 2) Mazine A, El-Hamamsy I, David TE et al. Ross Procedure in Adults for Cardiologists and Cardiac Surgeons. J Am Coll Cardiol 2018; 72: 2761-77. – reference: 1) Ross DN. Surgical reconstruction of the aortic valve. Lancet 1963; 1; 571-4. – reference: 7) Forcillo J, Cikirikcioglu M, El-Hamamsy I et al. The Ross procedure: total root technique. Multimed Man Cardiothorac Surg 2014; p.mmu018. – reference: 6) David TE, Woo A, Maganti M et al. When is the Ross operation a good option to treat aortic valve disease?. J Cardiovasc Surg 2010; 139: 68-75. |
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| SubjectTerms | Ross手術 大動脈弁閉鎖不全症 心室中隔欠損症 |
| Title | 心室中隔欠損症の自然閉鎖が原因と考えられる右冠尖変形による大動脈弁閉鎖不全症に対するRoss手術の1例 |
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| ispartofPNX | 日本心臓血管外科学会雑誌, 2024/05/15, Vol.53(3), pp.119-122 |
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