人工瓣膜心内膜炎合并广泛主动脉根部脓肿：采用无支架生物瓣膜、异种心包进行全主动脉根部重建及二尖瓣置换术。
Prosthetic valve endocarditis with extensive aortic root abscess: full aortic root reconstruction with stentless bioprosthesis, xenopericardium and mitral valve replacement.
作者信息
Fujiwara Keiichi, Hayashi Hiroki, Yamamoto Shuji, Komai Hiroyoshi, Okamura Yoshitaka
机构信息
Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japan.
出版信息
Jpn J Thorac Cardiovasc Surg. 2003 Dec;51(12):681-4. doi: 10.1007/s11748-003-0011-x.
Prosthetic valve endocarditis with an extensive aortic root abscess usually has high mortality and morbidity. A 71-year-old male with an extended aortic root abscess following aortic valve replacement survived after full aortic root reconstruction with glutaraldehyde bovine pericardium, mitral valve replacement and full root replacement using stentless bioprosthesis. The patient is well without recurrence of infection, 18 months postoperatively. This procedure might be an alternative treatment for prosthetic valve endocarditis with an extended aortic root abscess.
人工瓣膜心内膜炎合并广泛主动脉根部脓肿通常具有较高的死亡率和发病率。一名71岁男性在主动脉瓣置换术后发生了扩展型主动脉根部脓肿，在接受了使用戊二醛处理的牛心包进行全主动脉根部重建、二尖瓣置换以及使用无支架生物假体进行全根部置换后存活下来。术后18个月，患者情况良好，感染未复发。该手术可能是治疗合并扩展型主动脉根部脓肿的人工瓣膜心内膜炎的一种替代疗法。
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