Department of Cardiac and Vascular Surgery, Robert-Bosch-Hospital, Stuttgart, Germany.
Department of Cardiac and Vascular Surgery, Robert-Bosch-Hospital, Stuttgart, Germany.
Ann Thorac Surg. 2020 Sep;110(3):e199-e200. doi: 10.1016/j.athoracsur.2020.01.023. Epub 2020 Feb 28.
Cardiogenic shock is a life-threatening condition requiring fast and efficient diagnostic and therapeutic measures. In this case, the history of several cardiac surgeries hindered finding the correct diagnosis initially. After an ultima ratio cardiac redo operation the underlying cause was found intraoperatively: a defective mechanical valve prosthesis with migration of one of the two leaflets. Strikingly, this happened with a contemporary On-X prosthesis only 4 years after implantation. Timely echocardiography is of utmost importance in patients with prosthetic heart valves presenting in heart failure.
心原性休克是一种危及生命的疾病，需要快速、有效的诊断和治疗措施。在这种情况下，多次心脏手术的病史最初阻碍了正确的诊断。在最后的心脏再次手术中，术中发现了根本原因：一个有缺陷的机械瓣假体，两个瓣叶中的一个发生了迁移。引人注目的是，这发生在植入后仅 4 年的当代 On-X 假体上。对于患有人工心脏瓣膜并出现心力衰竭的患者，及时进行超声心动图检查至关重要。
