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A case report of incomplete endocardial cushion defect with mitral stenosis in an elderly patient

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Abstract

The following paper describes a mitral valve replacement (SJM 27 mm), the patch closure (EPTFE) of an ostium primum atrial septal defect and tricuspid annuloplasty (De Vega’s method) in a 64-year-old female patient with an incomplete endocardial cushion defect and mital stenosis. Surgery revealed thickend, mitral valve leaflets and the presence of a cleft, findings similar to those observed in case of rheumatic degeneration. Investigation of patient hemodynamics confirmed a diagnosis of Lutembacher syndrome and a lower with left ventricle volume. After surgery, the volume of left ventricle increased and the patients clinical course was uneventful.

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Authors and Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan

    Takeshiro Fujii, Nobuya Koyama, Yoshinori Watanabe, Noritsugu Shiono, Katsunori Yoshihara & Yoshinori Takanashi

  2. Department of Pediatric Cardiovascular Surgery, The Heart Instiute of Japan, Tokyo Women’s Medical College, Tokyo, Japan

    Yoshinori Takanashi

Authors
  1. Takeshiro Fujii
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  2. Nobuya Koyama
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  3. Yoshinori Watanabe
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  4. Noritsugu Shiono
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  5. Katsunori Yoshihara
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  6. Yoshinori Takanashi
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Fujii, T., Koyama, N., Watanabe, Y. et al. A case report of incomplete endocardial cushion defect with mitral stenosis in an elderly patient. Jpn J Thorac Caridovasc Surg 46, 1032–1036 (1998). https://doi.org/10.1007/BF03217869

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  • DOI: https://doi.org/10.1007/BF03217869

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