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感染性心内膜炎罕见并发症病例报告：既往静脉移植血管吻合口与主动脉完全分离。

Case Report of an Infrequent Complication of Infective Endocarditis: The Complete Detachment from the Aorta of the Previous Vein Graft Anastomosis.

作者信息

Varela Barca Laura, López Menéndez Jose, Redondo Palacios Ana, Rodríguez-Roda Stuart Jorge

机构信息

Department of Cardiovascular Surgery, Ramon y Cajal Hospital, Madrid, Spain.

出版信息

Aorta (Stamford). 2018 Dec;6(6):139-141. doi: 10.1055/s-0039-1678554. Epub 2019 Apr 24.

DOI:10.1055/s-0039-1678554
PMID:31018237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6482042/
Abstract

The authors report an unusual complication of acute infective endocarditis found in a 70-year-old man with a previous history of two cardiac surgery procedures. During median sternotomy, a massive bleeding occurred. The bleeding was contained within the mediastinum and originated from the 10-year-old anastomosis of the saphenous vein to a composite graft, which was completely detached due to infective endocarditis of the aortic graft.

摘要

作者报告了一名70岁男性急性感染性心内膜炎的罕见并发症，该患者曾有两次心脏手术史。在正中胸骨切开术期间，发生了大量出血。出血局限于纵隔内，源于10年前大隐静脉与复合移植物的吻合处，由于主动脉移植物的感染性心内膜炎，该吻合处已完全分离。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e962/6482042/2c3a5634bc99/10-1055-s-0039-1678554-i170067-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e962/6482042/693638491727/10-1055-s-0039-1678554-i170067-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e962/6482042/2c3a5634bc99/10-1055-s-0039-1678554-i170067-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e962/6482042/693638491727/10-1055-s-0039-1678554-i170067-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e962/6482042/2c3a5634bc99/10-1055-s-0039-1678554-i170067-2.jpg

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1
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Aorta (Stamford). 2018 Dec;6(6):139-141. doi: 10.1055/s-0039-1678554. Epub 2019 Apr 24.
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本文引用的文献

1
Endocarditis in patients with ascending aortic prosthetic graft: a case series from a national multicentre registry.升主动脉人工血管置换患者的心内膜炎：来自一项全国多中心注册研究的病例系列
Eur J Cardiothorac Surg. 2016 Dec;50(6):1149-1157. doi: 10.1093/ejcts/ezw190. Epub 2016 Jun 9.
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2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).2015年欧洲心脏病学会（ESC）感染性心内膜炎管理指南：欧洲心脏病学会（ESC）感染性心内膜炎管理工作组。认可机构：欧洲心胸外科学会（EACTS）、欧洲核医学协会（EANM）。
Eur Heart J. 2015 Nov 21;36(44):3075-3128. doi: 10.1093/eurheartj/ehv319. Epub 2015 Aug 29.
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Systemic aspergilloma post aortic root surgery following coronary artery stenting: diagnostic and management dilemma.冠状动脉支架置入术后主动脉根部手术后的系统性曲菌球：诊断与管理困境
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Tex Heart Inst J. 2004;31(3):306-8.
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[A case report of emergency Bentall re-operation].[Bentall急诊再次手术病例报告]
Kyobu Geka. 1989 Aug;42(9):778-81.
8
[Aneurysms of the ascending aorta; total replacement with reimplantation of the coronary arteries (author's transl)].升主动脉瘤；冠状动脉再植的全置换术（作者译）
Nouv Presse Med. 1978 Feb 4;7(5):363-5.