Document Detail


Mitral valve plasty in systemic lupus erythematosus in the setting of antiphospholipid syndrome.
MedLine Citation:
PMID:  10935334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The first case was of a 27-year-old female, who was diagnosed as having mitral valve stenosis with regurgitation, systemic lupus erythematosus and antiphospholipid syndrome at her previous pregnancy. We performed mitral valve plasty, which included open mitral commissurotomy and Kay's annulo plasty. The second case was of a 53-year-old female, who was diagnosed as old myocardial infarction, mitral regurgitation, systemic lupus erythematosus and antiphospholipid syndrome. She underwent mitral valve plasty and coronary artery bypass grafting. Both cases were treated by administration of methylpredonisolone and heparin perioperatively to avoid thrombosis and aggravation of systemic lupus erythematosus. Both patients showed good postoperative outcome without complications. We consider that it is important to perform the plasty as far as possible, and to administer effective anticoagulation treatment to prevent complications for patients in the setting of systemic lupus erythematosus and antiphospholipid syndrome.
Authors:
M Yoshida; Y Sasako; J Kobayashi; K Minatoya; K Bando; S Kitamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  48     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-17     Completed Date:  2000-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  391-3     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antiphospholipid Syndrome / complications*
Female
Humans
Lupus Erythematosus, Systemic / complications*
Middle Aged
Mitral Valve / surgery*
Mitral Valve Insufficiency / surgery*
Mitral Valve Stenosis / surgery*
Pregnancy
Pregnancy Complications
Reconstructive Surgical Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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