奇美拉分枝杆菌致主动脉瓣置换术后主动脉破裂和人工瓣心内膜炎。
Mycobacterium chimaera After Aortic Valve Replacement Causing Aortic Rupture and Prosthetic Valve Endocarditis.
机构信息
Division of Cardiac Surgery, Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada.
Department of Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada.
出版信息
Ann Thorac Surg. 2021 May;111(5):e335-e337. doi: 10.1016/j.athoracsur.2020.02.082. Epub 2020 Sep 25.
A 20-year-old man with severe aortic insufficiency received a mechanical aortic valve replacement. Afterward he subsequently presented with an aortic root dissection, pseudoaneurysm, and prosthetic valve endocarditis requiring surgical reinterventions twice with a positive Mycobacterium chimaera tissue culture despite prolonged antimycobacterial therapy. This is the first reported clinical case of M chimaera in Western Canada and the first with M chimaera-associated aortic dissection and pseudoaneurysm.
一名 20 岁男性因严重主动脉瓣关闭不全接受了机械主动脉瓣置换术。随后，他出现了主动脉根部夹层、假性动脉瘤和人工瓣膜心内膜炎，尽管经过长时间的抗分枝杆菌治疗，仍需要进行两次手术干预，并从组织培养中分离出分枝杆菌 chimaera。这是在加拿大西部首次报告的分枝杆菌 chimaera 临床病例，也是首例与分枝杆菌 chimaera 相关的主动脉夹层和假性动脉瘤病例。
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