[Surgical treatment for endocardial cushion defect in an elderly patient with pulmonary hypertension].
We performed surgery for a partial endocardial cushion defect (ECD) in a 67-year-old female patient with pulmonary hypertension. The patient had grade 2 tricuspid regurgitation and pulmonary hypertension (Pp/Ps = 0.58, Rp = 8.4 Um2). The operative procedure involved patch closure of the ostium primum and tricuspid annuloplasty with a Carpentier ring. The postoperative course was uneventful and the pulmonary hypertension improved (Pp/Ps = 0.33). Surgery for partial ECD should be recommended even for elderly patients.
Baba
M
M
Department of Cardiovascular Surgery, Hakodate Municipal Hospital, Japan.
Shiiku
C
C
Sugimoto
S
S
Izumiyama
Hasegawa
T
T
D000368:Aged; D004694:Endocardial Cushion Defects / Q000150:complications / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D014261:Tricuspid Valve / Q000601:surgery