Takahashi Masaya, Li Tao-Sheng, Ikeda Yoshitaka, Ito Hiroshi, Mikamo Akihito, Hamano Kimikazu
Division of Cardiovascular Surgery, Department of Medical Bioregulation, Yamaguchi University School of Medicine, Ube, Japan.
Ann Thorac Cardiovasc Surg. 2006 Aug;12(4):287-9.
Patients with liver cirrhosis are prone to the development of severe complications associated with high mortality rates after major surgery, especially cardiac surgery using cardiopulmonary bypass (CPB). We report the case of a 65-year-old man with acute infective endocarditis and aortic valve perforation, complicated by non-cardiac liver cirrhosis (Child-Pugh class B). After careful preoperative anti-inflammatory and systemic support treatment, we successfully treated infective endocarditis-induced aortic valve perforation by performing aortic valve replacement (AVR).
肝硬化患者在接受大手术后容易出现严重并发症，死亡率很高，尤其是在使用体外循环（CPB）的心脏手术中。我们报告了一例65岁男性患者，患有急性感染性心内膜炎和主动脉瓣穿孔，并伴有非心脏性肝硬化（Child-Pugh B级）。经过仔细的术前抗炎和全身支持治疗，我们通过进行主动脉瓣置换术（AVR）成功治疗了感染性心内膜炎引起的主动脉瓣穿孔。
