Tedoriya Takeo, Hirota Masanori, Ishikawa Noboru, Omoto Tadashi
Department of Cardiovascular Surgery, Showa University School of Medicine, Tokyo, Japan.
Interact Cardiovasc Thorac Surg. 2013 Mar;16(3):405-7. doi: 10.1093/icvts/ivs481. Epub 2012 Nov 20.
Surgical treatment is effective to exclude all infected tissue in patients with infective endocarditis. Although various techniques have been reported, it has remained a great challenge for patients with extensive infected regions. A patient with extensive bivalvular endocarditis including the aortic and mitral valve and aorto-mitral continuity is described. A handmade aorto-mitral bioprosthetic valve was created to reconstruct the defect after extensive debridement. The patient was discharged on the 30th postoperative day without inflammatory signs.
手术治疗对于排除感染性心内膜炎患者的所有感染组织是有效的。尽管已经报道了各种技术，但对于感染区域广泛的患者来说，这仍然是一个巨大的挑战。本文描述了一名患有包括主动脉瓣和二尖瓣以及主动脉 - 二尖瓣连续性在内的广泛双瓣膜心内膜炎的患者。在广泛清创后，制作了一个手工制作的主动脉 - 二尖瓣生物假体瓣膜来修复缺损。患者术后第30天出院，无炎症迹象。
