三尖瓣位二尖瓣同种异体移植、主动脉同种异体移植及二尖瓣成形术用于一名患有多瓣膜心内膜炎的吸毒者。

Mitral homograft in the tricuspid position, aortic homograft and mitral plasty in a drug addict with multiple valve endocarditis.

作者信息

Concha Manuel, Aranda Pedro J, Casares Jaime, Merino Carlos, Muñoz Ignacio, Alados Pedro, Gonzalez Jose R, Romo Elias

机构信息

Department of Cardiovascular Surgery, Hospital Universitario Reina Sofia, Cordoba, Spain.

出版信息

J Heart Valve Dis. 2003 Sep;12(5):659-63.

PMID:14565722

Abstract

The case is reported of multiple valve surgery using as little prosthetic material as possible in a drug addict with recurrent right and left bacterial endocarditis. The patient underwent aortic valve replacement with a cryopreserved aortic homograft, mitral repair and tricuspid valve replacement with a mitral homograft, using a modified technique. The indications and surgical options for tricuspid valve endocarditis in this patient group are discussed, with particular focus on technical aspects of using mitral homografts in the tricuspid position.

摘要

本文报道了一名药物成瘾者反复发生左右侧细菌性心内膜炎，在多瓣膜手术中尽可能少用人工材料的病例。患者接受了主动脉瓣置换术，使用冷冻保存的主动脉同种异体移植物，二尖瓣修复术以及三尖瓣置换术，采用二尖瓣同种异体移植物并使用改良技术。讨论了该患者群体三尖瓣心内膜炎的适应证和手术选择，特别关注在三尖瓣位置使用二尖瓣同种异体移植物的技术方面。