Fischer Matthew, Salehi Ali, Sopher Michael J, Vorobiof Gabriel, Shemin Richard J
Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.
Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.
Ann Thorac Surg. 2017 Sep;104(3):e243-e245. doi: 10.1016/j.athoracsur.2017.03.007.
Bioprosthetic valve-associated masses in the perioperative period are rare. This report describes the case of a 68-year-old man with perivalvular masses that were initially discovered on a routine postoperative transthoracic echocardiogram 7 days after chordae-preserving mitral valve replacement and coronary artery bypass grafting. An intraoperative transesophageal echocardiogram demonstrated ruptured papillary muscles. This case report describes the differential diagnosis and surgical management of this rare finding.
生物瓣相关的围手术期肿物较为罕见。本报告描述了一例68岁男性患者，其瓣周肿物最初是在保留腱索的二尖瓣置换术和冠状动脉搭桥术后7天的常规术后经胸超声心动图检查中发现的。术中经食管超声心动图显示乳头肌破裂。本病例报告描述了这一罕见发现的鉴别诊断和手术处理。
