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人工主动脉瓣心内膜炎合并多种全身并发症患者的外科治疗:病例报告

Surgical treatment in a patient with multiple systemic complications of prosthetic aortic valve endocarditis: case report.

作者信息

Becit Necip, Ceviz Münacettin, Koçak Hikmet, Polat Kamil Yalçin

机构信息

Department of Cardiovascular Surgery, Atatürk University Medical Faculty, Erzurum, Turkey.

出版信息

Heart Surg Forum. 2005;8(1):E52-4. doi: 10.1532/HSF98.20041143.

DOI:10.1532/HSF98.20041143
PMID:15769717
Abstract

A 31-year-old woman who had undergone aortic and mitral valve replacement 1 year previously was hospitalized with suspected prosthetic valve endocarditis. Freestyle stentless aortic xenograft was successfully replaced using freestanding total aortic root replacement techniques at the left ventricular outflow tract position, and aorta-to-right coronary artery bypass was also applied with a saphenous vein graft. The patient developed multiple systemic problems during the preoperative and postoperative periods and was successfully treated with intensive interventions. She was discharged at the postoperative fourth month, and the following 28 months were uneventful.

摘要

一名31岁女性,1年前接受了主动脉瓣和二尖瓣置换术,因疑似人工瓣膜心内膜炎入院。采用独立全主动脉根部置换技术,在左心室流出道位置成功置换了自由式无支架主动脉异种移植物,并使用大隐静脉移植进行了主动脉至右冠状动脉搭桥术。患者在术前和术后出现了多种全身问题,通过强化干预成功治疗。她在术后第四个月出院,随后的28个月病情平稳。

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Heart Surg Forum. 2005;8(1):E52-4. doi: 10.1532/HSF98.20041143.
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