|A Case Report of Aortic Root
Replacement, Mitral Valve Replacement and Extended Thoracic Aorta
Replacement for a Patient with Marfan's Syndrome
(Department of Thoracic-Cardiovascular Surgery,
Tottori Prefectural Central Hospital, Tottori, Japan)
|A 39-year-old woman with Marfan's
syndrome was referred with a symptom of exertional dyspnea, had
mitral valve regurgitation, annuloaortic ectasia with aortic
valve regurgitation and Stanford B type chronic aortic dissection.
She was successfully treated with a one-stage operation, consisting
of aortic root replacement with the Carrel patch method, mitral
valve replacement and extended replacement of the thoracic aorta
(ascending, arch and thoracic descending aorta), through median
sternotomy and left antero-axillary thoracotomy. This operation
was performed under hypothermic circulatory arrest with continuous
retrograde cerebral perfusion. The postoperative course was uneventful.
Although the operation may include complicated procedures, it
is important to perform a sufficient operation corresponding
to the patientfs condition and lesions, employing the most advanced
surgical techniques, such as circulatory arrest, myocardial protection
and so on.
@Jpn. J. Cardiovasc. Surg. 33: 282-286 (2004)