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先天性心脏病修复术后感染性心内膜炎所致右心室流出道假性动脉瘤

[False aneurysm of the right ventricular outflow tract due to infective endocarditis after repair of congenital heart disease].

作者信息

Chaker L, Drissa M A, Drissa H

机构信息

Service de cardiologie pédiatrique, hôpital Rabta, 1007, Bab-Sâadoun-Jabbari, Tunis, Tunisie.

出版信息

Ann Cardiol Angeiol (Paris). 2010 Jun;59(3):175-8. doi: 10.1016/j.ancard.2009.04.001. Epub 2009 May 14.

Abstract

A case of an enormous false aneurysm of the right ventricular outflow tract due to infective endocarditis is reported in a 12-year old girl who underwent Rastelli repair of congenital heart disease with reconstruction of the right ventricular outflow tract by bovine jugular vein graft (Contegra). The false aneurysm was associated to desinsertion of the patch of the ventricular septal defect and compresses the right ventricle leading to heart failure and shock. Surgical treatment was performed in emergency but the child died after surgery. Infectious false aneurysm of the right ventricle after surgical reconstruction of the right ventricular outflow tract is very rare. At our knowledge, only three cases have been reported in the literature. We report here another case.

摘要

报道了一名12岁女孩因感染性心内膜炎导致右心室流出道巨大假性动脉瘤的病例。该女孩接受了先天性心脏病的Rastelli修复术,使用牛颈静脉移植物(Contegra)重建右心室流出道。假性动脉瘤与室间隔缺损补片脱开有关,压迫右心室,导致心力衰竭和休克。紧急进行了手术治疗,但患儿术后死亡。右心室流出道手术重建后发生感染性右心室假性动脉瘤非常罕见。据我们所知,文献中仅报道过3例。我们在此报告另一例。

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