J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2291KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(3): 247-250, 1996

Case report

SURGICAL REPAIR OF ATRIAL SEPTAL DEFECT AND TRICUSPID REGURGITATION IN A 79-YEAR-OLD MAN : A CASE REPORT

The Second Department of Surgery, Gunma University school of Medicine, Maebashi, Japan

Jun Murakami, Susumu Ishikawa, Akio Ohtaki, Yasushi Sato, Yutaka Hasegawa, Tetsuya Koyano, Toru Takahashi, Yasuo Morishita

A 79-year-old man with atrial septal defect (ASD) and tricuspid regurgitation was successfully operated upon. Preoperative examinations showed atrial fibrillation, moderate pulmonaly hypertension and lung dysfunction. Direct closure of the ASD accompanying with tricuspid annuloplasty was performed. Postoperative administration of catecholamines continued for twenty-six days to maintain hemodynalnics. An intratracheal tube was extubated two days after the operation. However, an additional respiratory support using a nasal continuous positive airway pressure method was required for six days. His postoperative phyisical activity has been improved with class I of the New York Heart Association classification. Surgical intervention may be the treatment of choice for aged patients over 70 years with an ASD.

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