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主动脉根部置换术后复合移植物感染的再次手术。

Reoperation for composite graft infection after aortic root replacement.

作者信息

Murayama Hirokazu, Asano Soichi, Yanai Momoko, Yamamoto Masaki, Tatsuno Katsuhiko

机构信息

Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2005 Sep;53(9):490-3. doi: 10.1007/s11748-005-0093-8.

DOI:10.1007/s11748-005-0093-8
PMID:16200890
Abstract

Composite graft infection after aortic root replacement is a serious complication and requires surgical reintervention with a high mortality rate. We report two cases of composite graft infection 3 months and 44 months after the primary operation. Each successfully underwent redo aortic root replacement with a new composite graft and a Freestyle stentless bioprosthesis, respectively. Both patients are currently well and without recurrence of infection 35 months and 48 months postoperatively.

摘要

主动脉根部置换术后复合移植物感染是一种严重的并发症,需要进行手术再次干预,死亡率很高。我们报告了两例初次手术后3个月和44个月发生复合移植物感染的病例。两例患者分别成功地接受了再次主动脉根部置换术,分别植入了新的复合移植物和Freestyle无支架生物假体。两名患者目前情况良好,术后35个月和48个月均无感染复发。

相似文献

1
Reoperation for composite graft infection after aortic root replacement.主动脉根部置换术后复合移植物感染的再次手术。
Jpn J Thorac Cardiovasc Surg. 2005 Sep;53(9):490-3. doi: 10.1007/s11748-005-0093-8.
2
Stentless bioprostheses: a versatile and durable solution in extensive aortic valve endocarditis.无支架生物假体:广泛主动脉瓣心内膜炎的一种通用且持久的解决方案。
Eur J Cardiothorac Surg. 2016 Jun;49(6):1699-704. doi: 10.1093/ejcts/ezv463. Epub 2016 Jan 19.
3
[Pseudoaneurysm Formation after Aortic Root Replacement Using Freestyle Porcine Bioprosthesis].
Kyobu Geka. 2016 Dec;69(13):1073-1076.
4
[Successful aortic root replacement for prosthetic valve endocarditis using the freestyle stentless bioprosthesis: report of two cases].[使用Freestyle无支架生物瓣膜成功进行主动脉根部置换治疗人工瓣膜心内膜炎:两例报告]
Kyobu Geka. 2000 Apr;53(4):323-7.
5
Reoperation for early failure of a freestyle bioprosthesis using a full root technique.采用全根技术对自由式生物假体早期失败进行再次手术。
J Heart Valve Dis. 2007 May;16(3):275-7.
6
[Surgical treatment with the freestyle bioprosthesis and omentopexy for prosthetic valve endocarditis after aortic root replacement].[主动脉根部置换术后人工瓣膜心内膜炎的游离式生物假体手术治疗及大网膜固定术]
Kyobu Geka. 2006 Jul;59(7):531-5.
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Mid-term results of aortic root replacement using a self-assembled biological composite graft.使用自组装生物复合移植物进行主动脉根部置换的中期结果。
Interact Cardiovasc Thorac Surg. 2014 Oct;19(4):584-9. doi: 10.1093/icvts/ivu186. Epub 2014 Jul 3.
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Failing stentless aortic valves: redo aortic root replacement or valve in a valve?无支架主动脉瓣失效:再次行主动脉根部置换术还是行瓣中瓣技术?
Eur J Cardiothorac Surg. 2013 Mar;43(3):495-504. doi: 10.1093/ejcts/ezs335. Epub 2012 Aug 29.
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Stentless aortic valve reoperations: a surgical challenge.无支架主动脉瓣再次手术:一项外科挑战。
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Contemporary outcomes of surgery for aortic root aneurysms: A propensity-matched comparison of valve-sparing and composite valve graft replacement.主动脉根部动脉瘤手术的当代疗效:保留瓣膜与复合瓣膜移植置换的倾向匹配比较。
J Thorac Cardiovasc Surg. 2015 Nov;150(5):1120-9.e1. doi: 10.1016/j.jtcvs.2015.07.015. Epub 2015 Jul 10.

本文引用的文献

1
Eight-year results after aortic valve replacement with the Freestyle stentless bioprosthesis.使用Freestyle无支架生物瓣膜进行主动脉瓣置换术后八年的结果。
J Thorac Cardiovasc Surg. 2004 Jun;127(6):1657-63. doi: 10.1016/j.jtcvs.2004.01.023.
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Redo aortic root replacement: experience with 31 patients.再次主动脉根部置换术:31例患者的经验
Ann Thorac Surg. 2001 May;71(5):1460-3. doi: 10.1016/s0003-4975(01)02410-9.
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Infective endocarditis in patients who had replacement of the aortic root.
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Aortic root replacement. Risk factor analysis of a seventeen-year experience with 270 patients.主动脉根部置换术。270例患者17年经验的危险因素分析。
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Stentless porcine bioprostheses in the treatment of aortic valve infective endocarditis.无支架猪生物瓣膜治疗主动脉瓣感染性心内膜炎
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Sixteen-year experience with aortic root replacement. Results of 172 operations.主动脉根部置换术的十六年经验。172例手术的结果。
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Composite valve graft replacement of the proximal aorta: comparison of techniques in 348 patients.升主动脉复合人工血管置换术:348例患者的技术比较
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