Gritti Michael, Ferris Anne, Shah Amee, Bacha Emile, Kalfa David
1 Pediatric Cardiac Surgery, Children's Hospital of New York-Presbyterian, Columbia University Medical Center, Columbia University, New York, NY, USA.
2 Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
World J Pediatr Congenit Heart Surg. 2019 Jan;10(1):121-124. doi: 10.1177/2150135117751914. Epub 2018 Aug 21.
Medical management of infective endocarditis in the pediatric population has an associated in-hospital mortality rate of up to 25%. In the past, infective endocarditis of the mitral valve was surgically managed with a valve replacement. Now, there is a shift toward repair. However, for complex lesions in pediatric patients, many institutions are still hesitant to perform a mitral valve repair. We describe the cases of three children with destructive mitral valve endocarditis and risk factors for higher perioperative mortality and morbidity who were successfully treated with a complex mitral valve repair with "splint" patch plasty of the posteromedial commissure.
儿科感染性心内膜炎的药物治疗相关住院死亡率高达25%。过去，二尖瓣感染性心内膜炎通过瓣膜置换进行手术治疗。现在，治疗方式正转向修复。然而，对于儿科患者的复杂病变，许多机构仍对进行二尖瓣修复犹豫不决。我们描述了三例患有破坏性二尖瓣心内膜炎的儿童病例，以及围手术期死亡率和发病率较高的危险因素，他们通过后内侧连合部“夹板”补片成形术进行复杂二尖瓣修复而成功治愈。
