Shimomura T, Usui A, Watanabe T, Yasuura K
Department of Thoracic and Cardiovascular Surgery, Nagoya University School of Medicine, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Dec;46(12):1354-7. doi: 10.1007/BF03217929.
A 72-year-old male who underwent patch closure of atrial septal defect and aortic valve replacement (AVR) 10 years ago was diagnosed as aortic prosthetic valve endocarditis for recurrent fever, coexisting paravalvular leakage and aortic root aneurysm by transthoracic and transesophageal echocardiography. Operative findings showed mechanical prosthesis was dehiscenced in part and limited subannular aneurysm that was healed macroscopically. The hole of the aneurysm was closed by direct suture. Re-AVR, mitral valve replacement and tricuspid annuloplasty for complicating mitral valve stenosis and regurgitation and tricuspid valve regurgitation was performed. The patient is now doing well for one year after the reoperation.
一名72岁男性，10年前接受了房间隔缺损补片修补术和主动脉瓣置换术（AVR），因反复发热、经胸和经食管超声心动图检查发现并存瓣周漏和主动脉根部瘤，被诊断为人工主动脉瓣心内膜炎。手术所见显示机械瓣膜部分裂开，有局限性瓣环下动脉瘤，肉眼可见已愈合。动脉瘤的破口通过直接缝合关闭。因合并二尖瓣狭窄和反流以及三尖瓣反流，进行了再次主动脉瓣置换术、二尖瓣置换术和三尖瓣环成形术。再次手术后患者目前情况良好，已过去一年。
