成人多发性栓塞性主动脉瓣心内膜炎合并小动脉导管未闭

Multiple embolic aortic valve endocarditis with small patent ductus arteriosus in adult.

作者信息

Kim Seon Hee, Song Seunghwan, Kim Min Su, Kim Sang-Pil, Choi Jung Hyun

机构信息

Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Korea.

Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2014 Apr;47(2):137-40. doi: 10.5090/kjtcs.2014.47.2.137. Epub 2014 Apr 10.

DOI:10.5090/kjtcs.2014.47.2.137

PMID:24782964

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4000871/

Abstract

A 50-year-old female was admitted to Pusan National University Hospital with complaints of fatigue and sweating. Echocardiography showed a small patent ductus arteriosus (PDA) and highly mobile vegetations on the aortic valve. Emergency operation was performed due to the high risk of embolization and severe aortic regurgitation. When the pulmonary artery opened, we found unexpected fresh vegetation. The tissue of the PDA was fragile and infected. We successfully removed the infected tissue, closed the PDA with a patch, and replaced the aortic valve with a mechanical prosthesis.

摘要

一名50岁女性因疲劳和出汗症状入住釜山国立大学医院。超声心动图显示有一个小型动脉导管未闭（PDA），并且主动脉瓣上有高度活动的赘生物。由于存在栓塞的高风险和严重的主动脉瓣反流，遂进行了急诊手术。当打开肺动脉时，我们发现了意想不到的新鲜赘生物。动脉导管未闭的组织很脆弱且已被感染。我们成功切除了受感染的组织，用补片封闭了动脉导管未闭，并使用机械瓣膜置换了主动脉瓣。