Saitoh Y, Masuda A, Fukunaka M, Umemoto M, Kagawa T
Kyobu Geka. 1989 Feb;42(2):141-4.
The patient was a 3-year-old female with coarctation of the aorta complicated by ventricular septal defect and mitral regurgitation. She underwent surgery for coarctation of the aorta at 7 months of age. We performed direct closure using a pledget for ventricular septal defect and valvoplasty with annuloplasty for mitral regurgitation. Infective endocarditis due to pseudomonas cepacia developed 3 months after the surgery, and echocardiography revealed vegetation in the ventricular septum and anterior leaflet of the mitral valve. After treatment with antibiotics, the second open heart surgery involving removal of the pledget used in the previous operation, reclosure of the ventricular septal defect, and mitral valve replacement was performed. The patient is healthy without recurrence of infective endocarditis 2 years and 2 months after the surgery.
该患者为一名3岁女性，患有主动脉缩窄，并伴有室间隔缺损和二尖瓣反流。她在7个月大时接受了主动脉缩窄手术。我们使用带垫片的缝线直接缝合室间隔缺损，并通过瓣环成形术进行二尖瓣反流的瓣膜成形术。术后3个月发生了洋葱伯克霍尔德菌感染性心内膜炎，超声心动图显示室间隔和二尖瓣前叶有赘生物。在使用抗生素治疗后，进行了第二次心脏直视手术，包括取出上次手术中使用的垫片、再次缝合室间隔缺损以及置换二尖瓣。术后2年2个月，患者健康，感染性心内膜炎未复发。
