Peng Yong G, Martin Tomas, Horowitz Todd, Sidi Avner, Janelle Gregory
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
Ann Thorac Surg. 2009 Aug;88(2):e14-5. doi: 10.1016/j.athoracsur.2009.04.127.
Definitive treatment of complicated bacterial endocarditis requires surgical operation. However, the extent of bacterial endocarditis has dictated that surgical options be individualized. There are several surgical approaches to treat bacterial endocarditis. Transesophageal echocardiography has provided an invaluable intraoperative aid to the surgical decision-making and quality assurance of the repair. We report a case in which a primary aortic homograft was used for concomitant aortic and mitral valve repair based on transesophageal echocardiography evaluation. This case provides a new surgical alternative that uses a single homograft to repair aortic and mitral valves.
复杂性细菌性心内膜炎的确定性治疗需要进行外科手术。然而，细菌性心内膜炎的范围决定了手术方案应个体化。治疗细菌性心内膜炎有几种手术方法。经食管超声心动图为手术决策和修复质量保证提供了极有价值的术中辅助。我们报告一例基于经食管超声心动图评估，使用原发性主动脉同种异体移植物进行主动脉和二尖瓣联合修复的病例。该病例提供了一种使用单一同种异体移植物修复主动脉瓣和二尖瓣的新手术选择。
