Concurrent Mitral and Tricuspid Valve Surgery in a Patient with Left Collapsed Lung;Report of a Case
Koga, A.; Okamoto, K.; Tazume, H.; Noguchi, R.; Fukui, T.
Kyobu Geka. Japanese Journal of Thoracic Surgery 71(9): 689-692
2018
ISSN/ISBN: 0021-5252 PMID: 30185744 Document Number: 695741
A 77-year-old man was referred to our hospital with severe mitral valve regurgitation. Secondary to left partial lobectomy for tuberculosis 55 years earlier, his mediastinum was shifted to the left, and his pulmonary function was moderately decreased. Mitral valve replacement and tricuspid annuloplasty were performed with a median sternotomy. Although the heart was shifted to the left, the mitral valve was easily visualized when the right side of the pericardium was extensively elevated. The tracheal intubation tube was removed 1 day after the operation. The patient's postoperative course was uneventful, and he was discharged on the 13th postoperative day. We describe our surgical strategy in this patient with a literature review.