ニシムラ ヨウスケ   Nishimura Yosuke
  西村 陽介
   所属   医学部医学科  臨床医学系 心臓血管外科学
   職種   教授
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Mitral stenosis reversed by medical treatment for heart failure.
掲載誌名 正式名:The Annals of thoracic surgery
略  称:Ann Thorac Surg
ISSNコード:15526259/00034975
巻・号・頁 96(5),e115-7頁
著者・共著者 Yukawa Sawami, Takeuchi Masaaki, Nakazono Akemi, Sakamoto Kyoko, Araya Kiyoshi, Eto Masataka, Nishimura Yosuke, Harada Masaru, Levine Robert A, Otsuji Yutaka
発行年月 2013/11
概要 It is reported that functional mitral stenosis frequently develops after ring annuloplasty for ischemic mitral regurgitation. The mechanism is a combination of annular size reduction by surgery and diastolic mitral valve tethering, restricting the anterior leaflet opening due to posteriorly displaced papillary muscles with left ventricular dilatation. We report the case of a 57-year-old man who had a history of successful mitral valve plasty for degenerative mitral regurgitation. Four years later he developed heart failure, severe hypertension, mild mitral regurgitation, and significant mitral stenosis, which were reversed by aggressive medical treatment for heart failure.
DOI 10.1016/j.athoracsur.2013.04.132
PMID 24182508