UCLA-Kern Medical, Bakersfield, CA, USA.
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620940490. doi: 10.1177/2324709620940490.
Pulmonary autograft, or Ross procedure, is performed by supplanting a diseased aortic valve with the patient's own pulmonary valve. Reconstruction of the right ventricular outflow tract is then completed using a pulmonary homograft. To our knowledge, infective endocarditis occurring decades after the Ross procedure has not been reported. Diligent echocardiographic examination can be crucial to ensure prompt treatment and avoid the 25% mortality rate associated with infective endocarditis. Clinical suspicion should remain high in those with a pulmonary autograft history. In this article, we report the case of a 39-year-old patient with infective endocarditis presenting 22 years after Ross procedure.
肺动脉瓣替换术，又称罗斯手术，是用患者自身的肺动脉瓣替换病变的主动脉瓣。然后，使用同种肺动脉瓣来重建右心室流出道。据我们所知，罗斯手术后数十年发生感染性心内膜炎尚未见报道。仔细的超声心动图检查至关重要，可以确保及时治疗，避免与感染性心内膜炎相关的 25%死亡率。对于有肺动脉瓣替换术病史的患者，临床怀疑应保持高度警惕。本文报告了一例 39 岁患者，在罗斯手术后 22 年发生感染性心内膜炎。
