烧伤患者经右胸壁切开术行二尖瓣修复治疗耐多药铜绿假单胞菌心内膜炎：病例报告及文献复习

Mitral valve repair via right thoracotomy for multidrug resistant pseudomonal endocarditis in a burn patient: case report and review of the literature.

作者信息

Mohebali Jahan, Ibrahim Amir E, MacGillivray Thomas E, Goverman Jeremy, Fagan Shawn P

机构信息

Massachusetts General Hospital, Department of Surgery, Harvard Medical School, 55 Fruit Street, GRB 425, Boston, MA 02114, United States.

Massachusetts General Hospital, Divison of Burn Surgery, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, United States.

出版信息

Burns. 2015 May;41(3):e47-50. doi: 10.1016/j.burns.2015.01.002. Epub 2015 Feb 20.

DOI:10.1016/j.burns.2015.01.002

PMID:25703662

Abstract

Diagnosis and management of infectious endocarditis are particularly challenging in patients with severe burns. Cases requiring operative intervention are likely to have higher complication rates as a result of poor wound healing, recurrent bacteremia secondary to burn wound manipulation, and sequelae of anticoagulation in patients who require repeated reconstructive and cosmetic procedures. Few case reports exist describing mitral valve replacement for infectious endocarditis in burn patients. In this article, we review the literature to describe and address these challenges, and present what we believe to be the first case of mitral valve repair for infectious endocarditis in a thermally injured patient.

摘要

对于严重烧伤患者，感染性心内膜炎的诊断和管理极具挑战性。由于伤口愈合不良、烧伤创面处理继发的反复菌血症以及需要反复进行重建和美容手术的患者抗凝治疗的后遗症，需要手术干预的病例可能具有更高的并发症发生率。很少有病例报告描述烧伤患者因感染性心内膜炎进行二尖瓣置换术。在本文中，我们回顾文献以描述和应对这些挑战，并呈现我们认为是首例热损伤患者因感染性心内膜炎进行二尖瓣修复的病例。