title: [A case report of incomplete endocardial cushion defect with mitral stenosis in an elderly patient].
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 mitral stenosis. Surgery revealed thickened, 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Fujii
authors.forename: N
authors.initials: N
authors.lastname: Koyama
authors.forename: Y
authors.initials: Y
authors.lastname: Watanabe
authors.forename: N
authors.initials: N
authors.lastname: Shiono
authors.forename: K
authors.initials: K
authors.lastname: Yoshihara
authors.forename: Y
authors.initials: Y
authors.lastname: Takanashi
mesh_terms: D004694:Endocardial Cushion Defects / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008185:Lutembacher Syndrome / Q000601:surgery; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000601:surgery