Koukis Ioannis, Kingston Jennifer, Dedeilias Panagiotis, Prendergast Brian
Cardiothoracic Department, Manchester Heart Centre, Manchester Royal Infirmary, CMUH-NHS Trust, Manchester, UK,
Gen Thorac Cardiovasc Surg. 2014 Feb;62(2):119-21. doi: 10.1007/s11748-013-0248-y. Epub 2013 Apr 28.
We report a patient with Ehlers-Danlos syndrome and mitral valve endocarditis. The case was complicated due to the initial septic status of the patient and the fragility of the mitral valve both of which required further early operative intervention. The patient also had pre-existing pulmonary septic emboli, the significance of which was missed prior to the admission to our Unit. Two peripheral arterial aneurysms were identified and corrected surgically on same admission. Possible complications of the syndrome and surgical implications are discussed along with review of the literature.
我们报告了一例患有埃勒斯-当洛综合征和二尖瓣心内膜炎的患者。由于患者最初的败血症状态以及二尖瓣的脆弱性,该病例变得复杂,这两者都需要进一步的早期手术干预。患者还存在先前的肺脓毒性栓子,在入住我们科室之前其重要性被忽视。在同一次入院时发现了两个外周动脉瘤并进行了手术矫正。本文结合文献回顾讨论了该综合征可能的并发症及手术意义。