Hospital das Clínicas, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG.
Rev Soc Bras Med Trop. 2012 Mar-Apr;45(2):272-4. doi: 10.1590/s0037-86822012000200028.
We describe the case of a 41-year-old man with congenital heart disease and infective endocarditis (IE), who presented multiple vegetations attached to the pulmonary, mitral, and aortic valves. Three valve replacements were performed, but the patient developed an abscess at the mitral-aortic intervalvular fibrosa and died due to sepsis. We briefly discuss the indications for surgery in IE, emphasizing its role in the treatment of uncontrolled infection.
我们描述了一例患有先天性心脏病和感染性心内膜炎(IE)的 41 岁男性患者,他的肺部、二尖瓣和主动脉瓣上附着有多个赘生物。进行了三次瓣膜置换手术,但患者在二尖瓣-主动脉瓣间纤维隔处形成脓肿,并因败血症死亡。我们简要讨论了 IE 手术的适应证,强调了其在治疗无法控制的感染中的作用。