Saxena Pankaj, Clarke Belinda, Dunning John
Department of Cardiac Surgery, The Prince Charles Hospital, Chermside, Queensland 4032, Australia.
Tex Heart Inst J. 2007;34(1):95-7.
A 57-year-old man underwent bilateral lung transplantation at our hospital. On histopathology, aspergillomas were identified in the upper lobes of the explanted lungs. After being treated and discharged from the hospital, he returned 4 months later with ischemic chest pain, which was due to a myocardial infarction complicated by cardiogenic shock. He also had a large vegetation on the anterior mitral leaflet. Herein, we describe the patient's symptoms, complications, treatment, and recovery. To the best of our knowledge, ours is only the 2nd report of a patient who developed Aspergillus endocarditis after lung transplantation and the 1st such patient to have undergone successful mitral valve replacement.
一名57岁男性在我院接受了双肺移植手术。组织病理学检查发现，移植肺的上叶存在曲霉菌瘤。患者经治疗出院，4个月后因缺血性胸痛再次入院，诊断为心肌梗死并发心源性休克。此外，其二尖瓣前叶有一个大的赘生物。在此，我们描述该患者的症状、并发症、治疗及康复情况。据我们所知，这是第二例关于肺移植后发生曲霉菌性心内膜炎的病例报告，也是首例成功进行二尖瓣置换术的此类患者。
