Stazka Janusz, Czajkowski Marek
Department of Cardiac Surgery, Medical University of Lublin.
Ann Univ Mariae Curie Sklodowska Med. 2002;57(1):489-92.
Endocarditis is a life-threatening disease, although it is relatively uncommon. The complications of infective endocarditis may involve any organ system. Cardiac and extracardiac complications including neurologic, vascular and renal diseases are common and are usually caused by either embolization of vegetation or immune complexes. This case report presents a 31-year-old male with combined mitro-aortic valves defect and infective endocarditis on mitral valve. The replacement of mitral and aortic valves prosthesis were performed. During postoperative period low output heart failure, renal failure and respiratory failure developed. 25 days after the first operation the reoperation was performed because of mitral prosthesis insufficiency and thrombus just under the valve. On 31st day after the first operation patient died because of subdural hematoma and acute cerebral oedema and encephalomalatia.
心内膜炎是一种危及生命的疾病，尽管相对不常见。感染性心内膜炎的并发症可能累及任何器官系统。心脏和心外并发症，包括神经、血管和肾脏疾病很常见，通常是由赘生物或免疫复合物栓塞引起的。本病例报告介绍了一名31岁男性，患有二尖瓣和主动脉瓣联合缺损以及二尖瓣感染性心内膜炎。进行了二尖瓣和主动脉瓣人工瓣膜置换术。术后出现低心输出量心力衰竭、肾衰竭和呼吸衰竭。首次手术后25天，由于二尖瓣人工瓣膜功能不全和瓣膜下方血栓形成，进行了再次手术。首次手术后第31天，患者因硬膜下血肿、急性脑水肿和脑软化死亡。
