Albes J M, Claus T
Department of Cardiovascular Surgery, Heart Center Brandenburg, Bernau, Germany.
Thorac Cardiovasc Surg. 2011 Jun;59(4):247-8. doi: 10.1055/s-0030-1250425. Epub 2011 Mar 10.
A 59-year-old patient developed endocarditis with coagulase-negative staphylococci after aortic composite graft replacement and pacemaker implantation. She underwent complete pacemaker removal and tricuspid valve reconstruction. Pus was present in and around the aortic graft. Re-replacement of the aortic root and ascending aorta using only biological material was performed. A 23-mm full root stentless prosthesis (Vascutek Root Elan, Vascutec, Terumo, Leeds, UK) was used for aortic root replacement, and a second 25-mm full root prosthesis with removed cusps implanted in a reversed fashion was used for ascending aorta and proximal aortic arch replacement.
一名59岁患者在接受主动脉复合移植物置换和起搏器植入术后发生了凝固酶阴性葡萄球菌性心内膜炎。她接受了起搏器完全移除和三尖瓣重建手术。主动脉移植物内部及周围有脓液。仅使用生物材料对主动脉根部和升主动脉进行了再次置换。使用一个23毫米的全根部无支架人工血管（Vascutek Root Elan，Vascutec公司，Terumo公司，英国利兹）进行主动脉根部置换，使用第二个25毫米的全根部人工血管，其瓣叶已移除并以翻转方式植入，用于升主动脉和主动脉弓近端置换。
