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Valve replacement surgery for a case of aortic valve regurgitation associatcd with persistent left superior vena cava Shin Ishimaru 1 , Yasuhiro Fukaya 1 , Hiroshi Hino 1 , Tetsuzo Hirayama 1 , Masaki Konishi 1 , Masaki Tomonari 1 , Mitsuru Yamada 1 , Kinichi Furukawa 1 , Masatoshi Takahashi 1 1Dept. of Surgery, Tokyo Medical College pp.523-526
Published Date 1984/5/15
DOI https://doi.org/10.11477/mf.1404204449
  • Abstract
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Reports concerning surgical management of persistent left superior vena cava (PLSVC) in pa-tients suffering from acquired heart disease have been very limited, although simple clamping, in-termittent clamping or cannulation has been report-ed in PLSVC patients with other congenital heart disease.

Successful valve replacement surgery by the Björk-Shiley prosthesis was performed in a 58-year-old female suffering from aortic valve regurgitation associated with PLSVC (no major communications between the right and the left SVC). Venous blood return was effectively obtained by a balloon cathe-ter inserted into the PLSVC via the coronary sinus in the right atrium, during total cardio-pulmonary bypass. To minimize the risk of complications follow-ing surgery, drainage of venous blood from the PLSVC is more natural than simple or intermittent clamping of the PLSVC, and should be recom-mended especially in aged patients with acquired valvular disease.


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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