Bruss J, Jacobs L E, Kotler M N, Ioli A W
Department of Medicine, Albert Einstein Medical Center, Temple University School of Medicine, Philadelphia 19002.
Chest. 1992 Dec;102(6):1886-8. doi: 10.1378/chest.102.6.1886.
Prosthetic valve endocarditis is a formidable complication following cardiac valve replacement. Surgical intervention has resulted in a significant reduction in mortality when certain complications prevail. We report two such cases of prosthetic valve endocarditis in which the use of transesophageal echocardiography permitted close surveillance during medical therapy and thus avoided the need for surgical intervention. Therefore, with the improved ability to monitor disease progression with transesophageal echocardiography, nonsurgical management of prosthetic valve endocarditis remains an option.
人工瓣膜心内膜炎是心脏瓣膜置换术后一种严重的并发症。当出现某些并发症时，手术干预已使死亡率显著降低。我们报告两例人工瓣膜心内膜炎病例，在这两例中，经食管超声心动图的应用使得在药物治疗期间能够进行密切监测，从而避免了手术干预的必要性。因此，随着经食管超声心动图监测疾病进展能力的提高，人工瓣膜心内膜炎的非手术治疗仍是一种选择。
