[Konno's operation for residual aortic stenosis following Nick's operation--a case report]

[Konno's operation for residual aortic stenosis following Nick's operation--a case report] Research Abstract Details 

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[Konno's operation for residual aortic stenosis following Nick's operation--a case report] Abstract Text:

T Tsuji,S Kitamura,K Kawachi,T Kawata,S Kobayashi,J Hasegawa,

A 43-year-old woman successfully underwent the Konno's operation as a reoperative procedure for residual aortic stenosis following the Nicks' operation. The patient had had congenital valvular and subvalvular aortic stenosis and a patent ductus arteriosus previously divided. At age 33, she had undergone the Nicks' operation (posterior ring enlargement) and aortic valve replacement with a 19 mm Bicer valve prosthesis 9 years 6 months prior to the reoperation. The preoperative left ventricular-aortic pressure gradient was 120 mmHg which decreased but remained about 60 mmHg after the Nicks' procedure. The patient again developed heart failure and frequent episodes of atrial fibrillation which required repeated hospital admissions. Approximately 10 years following the original procedure, the Konno's operation (anterior ring enlargement) was performed using a 23 mm St. Judes Medical aortic prosthesis to manage residual aortic stenosis. The postoperative course was uneventful and the left ventricular-aortic pressure gradient reduced to 16 mmHg. We conclude that the Konno's operation can be safely performed for residual aortic stenosis following the Nicks' operation.

[Konno's operation for residual aortic stenosis following Nick's operation--a case report] Publishing Authors By Initials

T Tsuji,S Kitamura,K Kawachi,T Kawata,S Kobayashi,J Hasegawa,

For similar surgical procedures, operative: reoperation research abstracts see: surgical procedures, operative: reoperation research

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[Konno's operation for residual aortic stenosis following Nick's operation--a case report] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: [Zasshi] [Journal]. Nihon Ky?bu Geka Gakkai

VOLUME: 43

Page Numbers: 1747-51

Journal Abbreviation:

ISSN: 0369-4739

DAY: 14

MONTH: Oct

YEAR: 1995

[Konno's operation for residual aortic stenosis following Nick's operation--a case report] Information

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LANGUAGE: jpn

NlmUniqueID: 19130180

[Konno's operation for residual aortic stenosis following Nick's operation--a case report] Keywords Mesh Terms:

KEYWORDS: Reoperation

MESH TERMS: surgery

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Grant and Affiliation Information for [Konno's operation for residual aortic stenosis following Nick's operation--a case report]

AFFILIATION: Department of Surgery III, Nara Medical College, Japan.

Country: JAPAN

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MEDLINETA: Nippon Kyobu Geka Gakkai Zassh

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