Jones J M, Sarsam M A
Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland.
Ann Thorac Surg. 2001 Jul;72(1):255-7. doi: 10.1016/s0003-4975(00)02582-0.
We present a case of acute endocarditis involving the posteromedial commissure and both leaflets of the mitral valve, including a vegetation on and perforation of the anterior leaflet, in a young man with active Crohn's disease. Repair was performed using glutaraldehyde-treated bovine pericardium. Competence of the valve was achieved with no recurrence of endocarditis. This case demonstrates that extensive destruction of both leaflets of the mitral valve does not prohibit repair.
我们报告一例年轻的活动性克罗恩病患者,其急性心内膜炎累及二尖瓣后内侧连合及两个瓣叶,包括前叶上的赘生物和穿孔。使用经戊二醛处理的牛心包进行修复。瓣膜功能恢复,心内膜炎未复发。该病例表明二尖瓣两个瓣叶的广泛破坏并不妨碍修复。