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使用带瓣管道来排除人工肺动脉瓣心内膜炎中的感染部分。

Use of a valved-conduit for exclusion of the infected portion in the prosthetic pulmonary valve endocarditis.

作者信息

Jung Joonho, Hong You Sun, Lee Cheol Joo, Lim Sang-Hyun, Choi Ho, Park Soo-Jin

机构信息

Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2013 Jun;46(3):208-11. doi: 10.5090/kjtcs.2013.46.3.208. Epub 2013 Jun 5.

DOI:10.5090/kjtcs.2013.46.3.208
PMID:23772409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3680607/
Abstract

A 51-year-old male was admitted to the hospital with complaints of fever and hemoptysis. After evaluation of the fever focus, he was diagnosed with pulmonary valve infective endocarditis. Thus pulmonary valve replacement and antibiotics therapy were performed and discharged. He was brought to the emergency unit presenting with a high fever (>39℃) and general weakness 6 months after the initial operation. The echocardiography revealed prosthetic pulmonary valve endocarditis. Therefore, redo-pulmonary valve replacement using valved conduit was performed in the Rastelli fashion because of the risk of pulmonary arterial wall injury and recurrent endocarditis from the remnant inflammatory tissue. We report here on the successful surgical treatment of prosthetic pulmonary valve endocarditis with an alternative surgical method.

摘要

一名51岁男性因发热和咯血入院。在评估发热病灶后，他被诊断为肺动脉瓣感染性心内膜炎。因此，进行了肺动脉瓣置换术和抗生素治疗后出院。初次手术后6个月，他因高热（>39℃）和全身乏力被送往急诊室。超声心动图显示人工肺动脉瓣心内膜炎。由于存在肺动脉壁损伤和残留炎症组织导致复发性心内膜炎的风险，因此采用Rastelli术式使用带瓣管道进行再次肺动脉瓣置换术。我们在此报告用一种替代手术方法成功治疗人工肺动脉瓣心内膜炎的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/b404dce8b52a/kjtcs-46-208-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/9d401a7219ad/kjtcs-46-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/2d1f1f80bd8d/kjtcs-46-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/5e59a32fc9c5/kjtcs-46-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/b404dce8b52a/kjtcs-46-208-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/9d401a7219ad/kjtcs-46-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/2d1f1f80bd8d/kjtcs-46-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/5e59a32fc9c5/kjtcs-46-208-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b901/3680607/b404dce8b52a/kjtcs-46-208-g004.jpg

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