Heart Transplantation in a Patient With Rheumatic Heart Disease and Severe Left Atrial Calcification

被引：0
|
作者：
Song, Kyungsub [1 ]
Lee, Seonhwa [2 ]
Kim, Yun Seok [1 ]
机构：
[1] Keimyung Univ Dongsan Hosp, Dept Thorac & Cardiovasc Surg, Cardiovasc Dis Ctr, 1035 Dalgubeol Daero, Daegu 42601, South Korea
[2] Keimyung Univ Dongsan Hosp, Div Cardiol, Dept Internal Med, Cardiovasc Dis Ctr, Daegu, South Korea
来源：
TEXAS HEART INSTITUTE JOURNAL | 2024年 / 51卷 / 01期
关键词：
Heart transplantation; rheumatic heart disease; shock; cardiogenic;
D O I：
10.14503/THIJ-23-8286
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 62-year-old woman who had undergone mitral valve replacement 24 years ago was admitted to the hospital with congestive heart failure. She needed heart transplantation for stage D heart failure. Preoperative cardiac computed tomographic scans showed a severely calcified left atrium and a large right atrium. Given that the left atrium's calcification was too severe to suture, the calcified left atrial wall was broadly resected, and the resected left atrial wall was reconstructed with a bovine pericardial patch for anastomosis with the donor's left atrial wall. The operation was completed without heavy bleeding, and the patient was discharged from the hospital with no complications.
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