Hisata Yoichi, Hazama Shiro, Izumi Kenta, Eishi Kiyoyuki
Division of Cardiovascular Surgery, Sasebo City General Hospital, 9-3 Hirase, Sasebo, and Nagasaki University School of Medicine, Nagasaki, 857-8511, Japan.
Gen Thorac Cardiovasc Surg. 2008 Dec;56(12):595-8. doi: 10.1007/s11748-008-0313-0. Epub 2008 Dec 16.
A 68-year-old woman had undergone aortic valve replacement and open commissurotomy 20 years previously. At the beginning of 2008, fever, cold, and heart failure symptoms were noted. On blood culture, Streptococcus oralis was detected three times. Surgery was performed under a diagnoses of prosthetic valve endocarditis in the aortic valve, mitral stenosis and insufficiency, and tricuspid insufficiency. Techniques consisted of additional aortic valve replacement, mitral valve replacement, and tricuspid annuloplasty. Vegetation was macroscopically and pathologically observed in the extirpated Carpentier-Edwards pericardial bioprosthesis that had been placed in the aortic valve. There was no postoperative recurrent inflammatory response. The patient was discharged 32 days after surgery.
一名68岁女性20年前接受了主动脉瓣置换术和直视二尖瓣交界切开术。2008年初，出现发热、感冒及心力衰竭症状。血培养三次检测到口腔链球菌。在诊断为主动脉瓣人工瓣膜心内膜炎、二尖瓣狭窄和关闭不全以及三尖瓣关闭不全后进行了手术。手术方式包括再次主动脉瓣置换、二尖瓣置换和三尖瓣环成形术。在切除的置于主动脉瓣的Carpentier-Edwards心包生物瓣膜中进行了大体和病理观察。术后无反复炎症反应。患者术后32天出院。
