白塞氏病性主动脉炎酷似伴有主动脉瓣下并发症的主动脉瓣心内膜炎。
Behçet's aortitis mimicking aortic valve endocarditis with subaortic complications.
作者信息
Shiran Avinoam, Zisman Devy, Karkabi Basheer, Safadi Tammah, Aravot Dan, Bitterman Haim, Lewis Basil S
机构信息
Department of Cardiovascular Medicine, Lady Davis Carmel Medical Center, The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
出版信息
J Am Soc Echocardiogr. 2006 May;19(5):578.e1-4. doi: 10.1016/j.echo.2005.12.012.
Behçet's disease is a systemic inflammatory disease with rare cardiac involvement. We present a case of Behçet's aortitis involving the aortic and mitral valves with vegetations resembling aortic valve endocarditis with subaortic complications. Recurrent aortitis after aortic valve replacement resulted in an aortic pseudoaneurysm formation with moderate perivalvular aortic regurgitation that stabilized with immunosuppressive therapy and without the need for additional cardiac operation.
白塞病是一种全身性炎症性疾病，心脏受累罕见。我们报告一例白塞氏主动脉炎病例，累及主动脉瓣和二尖瓣，伴有类似于主动脉瓣心内膜炎并伴有主动脉瓣下并发症的赘生物。主动脉瓣置换术后复发性主动脉炎导致主动脉假性动脉瘤形成，并伴有中度瓣周主动脉反流，经免疫抑制治疗病情稳定，无需再次进行心脏手术。
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