Journal of Chest Surgery

  • 제51권1호
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  • Pages.61-63
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  • 2018
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Minimally Invasive Mitral Valve Repair in a Woman with Marfan Syndrome and Type B Dissection

  • Lim, Mi Hee (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University) ;
  • Je, Hyung Gon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University) ;
  • Lee, Sang Kwon (Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Medical Research Institute of Pusan National University)
  • 투고 : 2017.04.12
  • 심사 : 2017.06.26
  • 발행 : 2018.02.05
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초록

We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without type A aortic dissection or aortic root dilation, MFS patients may develop mitral valve regurgitation, as in this case, and need valve surgery to improve their symptoms and long-term survival. However, it is not clear that a full sternotomy and prophylactic aortic surgery are necessary. Although retrograde perfusion to the dissected aorta is controversial, our approach minimizes the risk of future anticipated aortic surgery in MFS patients.

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참고문헌

  1. Silverman DI, Burton KJ, Gray J, et al. Life expectancy in the Marfan syndrome. Am J Cardiol 1995;75:157-60. https://doi.org/10.1016/S0002-9149(00)80066-1
  2. Park JM, Je HG, Lee SK. Single-suture neochorda-folding plasty for mitral regurgitation. Korean J Thorac Cardiovasc Surg 2016;49:70-2. https://doi.org/10.5090/kjtcs.2016.49.1.70
  3. Van Bogerijen GH, Tolenaar JL, Rampoldi V, et al. Predictors of aortic growth in uncomplicated type B aortic dissection. J Vasc Surg 2014;59:1134-43. https://doi.org/10.1016/j.jvs.2014.01.042
  4. Kato H, Ohtake H, Yamaguchi S, et al. Minimally invasive cardiac surgery for a young woman with Marfan syndrome and mitral regurgitation. Gen Thorac Cardiovasc Surg 2010;58:531-3. https://doi.org/10.1007/s11748-009-0576-0
  5. Vollroth M, Seeburger J, Garbade J, Borger MA, Misfeld M, Mohr FW. Conversion rate and contraindications for minimally invasive mitral valve surgery. Ann Cardiothorac Surg 2013;2:853-4.

피인용 문헌

  1. An Endoscopic Solution to Mitral Regurgitation in a Complex Patient With Marfan Syndrome vol.14, pp.6, 2018, https://doi.org/10.1177/1556984519874799