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一例罕见的人工主动脉瓣心内膜炎合并主动脉周围结构多发瘘管病例。

A rare case of prosthetic aortic valve endocarditis complicated with multiple fistula to peri aortic structure.

作者信息

Sabzi Feridoun, Faraji Reza

机构信息

1. Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

2. Yazd Cardiovascular Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Med J Islam Repub Iran. 2014 Dec 10;28:146. eCollection 2014.

Abstract

Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, including emphasis on pre and intra operative echocardiographic diagnosis and treatment.

摘要

多发性主动脉-心腔交通是人工主动脉瓣心内膜炎非常罕见但重要的并发症。以下病例说明了人工主动脉瓣心内膜炎后多发性主动脉-心腔瘘的形成,表现为心力衰竭的缓慢进展症状。本文简要回顾了手术重建及现有文献,重点强调术前和术中超声心动图诊断及治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f393/4322321/95fe572996a7/MJIRI-28-146-g001.jpg

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