感染性心内膜炎合并冠状动脉缺血时主动脉根部脓肿的延迟表现。
Late presentation of aortic root abscess in endocarditis with coronary ischemia.
作者信息
Namboodiri Narayanan, Bohora Shomu, Misra Manoranjan, Bijulal Sasidharan, Jayakumar Karunakaran, Tharakan Jaganmohan A
机构信息
Sree Chitra Tirunal Institute for Medical Sciences and Technology Trivandrum, Kerala, India.
出版信息
Asian Cardiovasc Thorac Ann. 2009 Dec;17(6):647-9. doi: 10.1177/0218492309105567.
Formation of a large aortic root abscess is an infrequent complication of aortic valve endocarditis in adults. Extrinsic compression of the coronary arteries by this abscess is still rarer. Here, we report a case of a 22-year-old male with aortic root abscess, who presented 2 months after the completion of treatment of endocarditis with exertional angina. Coronary angiogram revealed compression of proximal left anterior descending and left circumflex arteries by the abscess. The patient was successfully treated with pericardial patch exclusion of the abscess cavity and coronary artery bypass graft. The presentation of aortic root abscess with myocardial ischemia as a late complication of treated endocarditis has not been reported earlier.
形成大的主动脉根部脓肿是成人主动脉瓣心内膜炎罕见的并发症。这种脓肿对冠状动脉的外在压迫更为罕见。在此，我们报告一例22岁男性主动脉根部脓肿病例，该患者在完成心内膜炎治疗2个月后出现劳力性心绞痛。冠状动脉造影显示脓肿压迫左前降支近端和左旋支。患者通过心包补片封闭脓肿腔和冠状动脉旁路移植术成功治愈。主动脉根部脓肿作为已治疗心内膜炎的晚期并发症并伴有心肌缺血的情况此前未见报道。
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