Schnitzer Kathy, Or Zafrir, Sawaed Shtiwi, Sharoni Erez, Bisharat Naiel
Department of Medicine D, Emek Medical Center, Afula, Israel.
Department of Cardiology, Emek Medical Center, Afula, Israel.
Ann Thorac Surg. 2017 Jul;104(1):e57-e59. doi: 10.1016/j.athoracsur.2017.01.108.
Rapid progression of valvular stenosis in the setting of infective endocarditis is extremely rare. Here we describe a patient with Bartonella endocarditis on a bioprosthetic aortic valve that caused rapidly progressive aortic stenosis without regurgitation. At operation the bioprosthetic valve was severely fibrotic and calcified, with markedly thickened and distorted leaflets and circular partial detachment from the aortic ring. The patient underwent aortic root replacement with aortic bioprosthesis and aortic grafting with reimplantation of the coronary ostia.
感染性心内膜炎情况下瓣膜狭窄的快速进展极为罕见。在此，我们描述一名生物人工主动脉瓣上患有巴尔通体心内膜炎的患者，该疾病导致了无反流的快速进展性主动脉狭窄。手术时，生物人工瓣膜严重纤维化和钙化，瓣叶明显增厚和变形，并且与主动脉环呈环形部分分离。该患者接受了主动脉生物人工瓣膜置换主动脉根部以及冠状动脉开口再植入的主动脉移植术。
