主动脉瓣感染性心内膜炎伴二尖瓣前叶动脉瘤
Infective Endocarditis of the Aortic Valve with Anterior Mitral Valve Leaflet Aneurysm.
作者信息
Tomsic Anton, Li Wilson W L, van Paridon Marieke, Bindraban Navin R, de Mol Bas A J M
出版信息
Tex Heart Inst J. 2016 Aug 1;43(4):345-9. doi: 10.14503/THIJ-15-5322. eCollection 2016 Aug.
Abstract
Mitral valve leaflet aneurysm is a rare and potentially devastating complication of aortic valve endocarditis. We report the case of a 48-year-old man who had endocarditis of the native aortic valve and a concomitant aneurysm of the anterior mitral valve leaflet. Severe mitral regurgitation occurred after the aneurysm perforated. The patient showed no signs of heart failure and completed a 6-week regimen of antibiotic therapy before undergoing successful aortic and mitral valve replacement. In addition to the patient's case, we review the relevant medical literature.
摘要
二尖瓣叶动脉瘤是主动脉瓣心内膜炎一种罕见且可能具有毁灭性的并发症。我们报告一例48岁男性患者，其患有原发性主动脉瓣心内膜炎并伴有二尖瓣前叶动脉瘤。动脉瘤穿孔后出现严重二尖瓣反流。该患者无心力衰竭迹象，在成功接受主动脉瓣和二尖瓣置换术之前，完成了为期6周的抗生素治疗方案。除了该患者的病例外，我们还回顾了相关医学文献。
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