Abuzaid Ahmed AbdulAziz, Zaki Mahmood, Tarif Habib
Department of Cardiovascular Surgery, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain.
Department of Intensivest of cardiac anesthesia, Mohammed bin Khalifa Cardiac Centre, Bahrain Defence Force Hospital, Al-Riffa, Bahrain.
Heart Views. 2015 Jan-Mar;16(1):30-3. doi: 10.4103/1995-705X.152999.
A 64-year-old female operated 1 month previous for mitral valve repair presented with acute respiratory distress and dyspnea. Echocardiography showed large echogenic valvular mass measuring 2.3 × 1.3 cm with severe mitral regurgitation and dehiscence of the mitral ring posteriorly. The mass was attached subvalvularly to the ventricular septal-free wall and eroding through it, which required complete aggressive dissection of the infected tissues. Diagnosis was confirmed after resection of the valve by multiple negative blood cultures and positive valvular tissue for Aspergillus fumigatus endocarditis. She was treated with high dose of voriconazole for 3 months. Her postoperative period was complicated by acute-on-chronic renal failure. She responded very well to the management.
一名64岁女性1个月前接受二尖瓣修复手术，现出现急性呼吸窘迫和呼吸困难。超声心动图显示有一个2.3×1.3厘米的大回声瓣膜团块，伴有严重二尖瓣反流和二尖瓣环后部裂开。该团块附着于瓣膜下室间隔游离壁并穿透，需要对感染组织进行彻底积极的剥离。切除瓣膜后，多次血培养阴性，瓣膜组织曲霉菌心内膜炎检测呈阳性，确诊。她接受了高剂量伏立康唑治疗3个月。她的术后出现了急性慢性肾衰竭并发症。她对治疗反应良好。
