A Case of Aortic Regurgitation Accompanied by Multiple Metal Allergy Treated with Aortic Valve Replacement under Median Sternotomy / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 466-470, 2013.
Article
in Ja
| WPRIM
| ID: wpr-375247
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ABSTRACT
A 58-year-old man who complained of dyspnea on effort was given a diagnosis of decompensated congestive heart failure. Echocardiography revealed severe aortic regurgitation and cardiomegaly. We decided to perform aortic valve replacement with a mechanical valve, however his past history made us suspicious of allergy to metal. From his previous patient records, we determined he was allergic to many metals : gold, iron, platinum, cobalt, chrome, bronze, and zinc. Newly performed skin patch tests showed positive reactions to aluminum, tin, palladium, indium, iridium and stainless steel. We selected a CarboMedics mechanical valve made of nickel-titanium alloy. Aortic valve replacement with a 27-mm CarboMedics mechanical valve was performed by median sternotomy. At sternum closure, we used polyester non-absorbable suture thread, instead of surgical steel wire, because it contains stainless steel. His postoperative progress was good and he was discharged on the 10th postoperative day. One year after surgery he is doing well without any allergic symptoms.
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WPRIM
Language:
Ja
Journal:
Japanese Journal of Cardiovascular Surgery
Year:
2013
Type:
Article