Kitamura Tadashi, Kinoshita Osamu, Ono Minoru
Department of Cardiothoracic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2012 May;14(5):689-91. doi: 10.1093/icvts/ivs033. Epub 2012 Feb 22.
Prosthetic valve endocarditis involving other valves and cardiac structures requires complex surgical reconstruction, which is sometimes accompanied by uncontrollable bleeding. We report the case of a 41-year old man who developed prosthetic aortic valve endocarditis with paravalvular abscess affecting the intervalvular fibrous body, the mitral valve and other cardiac structures. Aortic root and mitral valve replacement with reconstruction of the intervalvular fibrous body led to torrential bleeding from the proximal aortic root anastomosis, which was successfully controlled by a stepwise Cabrol shunt.
人工瓣膜心内膜炎累及其他瓣膜和心脏结构时需要进行复杂的外科重建，有时还会伴有难以控制的出血。我们报告一例41岁男性患者，其发生人工主动脉瓣心内膜炎，伴有瓣周脓肿，累及瓣间纤维体、二尖瓣和其他心脏结构。进行主动脉根部和二尖瓣置换并重建瓣间纤维体后，主动脉根部近端吻合口出现大量出血，通过逐步实施卡布罗分流术成功控制了出血。
