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Reinforced mitral valve replacement using a xenopericardium collared prosthetic valve for a heavily calcified or disrupted mitral annulus: a simple "Dumpling technique".使用带心包片的异种心包人工瓣膜进行二尖瓣环严重钙化或破裂时的二尖瓣置换术：一种简单的“饺子技术”
Surg Today. 2017 Jul;47(7):895-898. doi: 10.1007/s00595-016-1447-9. Epub 2016 Nov 21.
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Predicting in-hospital mortality after redo cardiac operations: development of a preoperative scorecard.预测再次心脏手术后的院内死亡率：术前评分卡的制定。
Ann Thorac Surg. 2012 Sep;94(3):778-84. doi: 10.1016/j.athoracsur.2012.04.062. Epub 2012 Jul 20.
3
Prosthetic valve endocarditis caused by Staphylococcus capitis: report of 4 cases.头状葡萄球菌引起的人工瓣膜心内膜炎：4例报告
J Cardiothorac Surg. 2011 Oct 7;6:131. doi: 10.1186/1749-8090-6-131.
4
Redo aortic valve surgery: early and late outcomes.再次行主动脉瓣手术：早期和晚期结果。
Ann Thorac Surg. 2011 Apr;91(4):1120-6. doi: 10.1016/j.athoracsur.2010.12.053. Epub 2011 Jan 31.
5
Surgical treatment for active infective prosthetic valve endocarditis: 22-year single-centre experience.外科治疗活动性感染性人工心脏瓣膜心内膜炎：22 年单中心经验。
Eur J Cardiothorac Surg. 2010 Nov;38(5):528-38. doi: 10.1016/j.ejcts.2010.03.019. Epub 2010 May 23.
6
Decreased susceptibility to teicoplanin and vancomycin in coagulase-negative Staphylococci isolated from orthopedic-device-associated infections.从骨科器械相关感染中分离出的凝固酶阴性葡萄球菌对替考拉宁和万古霉素的敏感性降低。
J Clin Microbiol. 2010 Apr;48(4):1428-31. doi: 10.1128/JCM.02098-09. Epub 2010 Feb 17.
7
Prosthetic valve endocarditis due to coagulase-negative staphylococci: findings from the International Collaboration on Endocarditis Merged Database.凝固酶阴性葡萄球菌所致人工瓣膜心内膜炎：来自心内膜炎国际协作合并数据库的研究结果
Eur J Clin Microbiol Infect Dis. 2006 Jun;25(6):365-8. doi: 10.1007/s10096-006-0141-z.
8
A case of mitral valve replacement with a collar-reinforced prosthetic valve for heavily calcified mitral annulus.1例使用带环加强型人工瓣膜置换重度钙化二尖瓣环的病例。
Ann Thorac Cardiovasc Surg. 2005 Aug;11(4):260-3.
9
Infective endocarditis.感染性心内膜炎。
Lancet. 2004 Jan 10;363(9403):139-49. doi: 10.1016/S0140-6736(03)15266-X.
10
Pathogenesis of infections due to coagulase-negative staphylococci.凝固酶阴性葡萄球菌引起感染的发病机制。
Lancet Infect Dis. 2002 Nov;2(11):677-85. doi: 10.1016/s1473-3099(02)00438-3.

人工瓣膜心内膜炎由耐甲氧西林凝固酶阴性葡萄球菌的隐匿性感染引起。

Prosthetic valve endocarditis caused by silent infection of methicillin-resistant coagulase-negative staphylococci.

机构信息

Department of Cardiac Surgery, Aichi Medical University, Nagakute, Aichi, Japan

Department of Cardiac Surgery, Aichi Medical University, Nagakute, Aichi, Japan.

出版信息

BMJ Case Rep. 2021 Jan 25;14(1):e236383. doi: 10.1136/bcr-2020-236383.

DOI:10.1136/bcr-2020-236383
PMID:33495173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7839918/
Abstract

Surgery for prosthetic valve endocarditis in the mitral valve position is still challenging for surgeons. Reconstruction of the mitral annulus is useful for patients with a mitral annulus disputed by infection. Here, we report a redo mitral valve replacement using a collar-reinforced tissue valve, which was inserted into a mitral annulus reconstructed with a bovine patch. Though the preoperative blood culture detected , the intraoperative culture detected methicillin-resistant coagulase-negative staphylococci (MRCNS). MRCNS is rarely detected because of its indolent nature.

摘要

对于外科医生来说，二尖瓣位置的人工瓣膜心内膜炎的手术仍然具有挑战性。对于二尖瓣环有感染争议的患者，重建二尖瓣环是有用的。在这里，我们报告了一例使用带领加强组织瓣膜的二尖瓣再次置换术，该瓣膜插入到用牛心包片重建的二尖瓣环中。尽管术前血培养检测到 ，但术中培养检测到耐甲氧西林凝固酶阴性葡萄球菌（MRCNS）。由于其惰性，MRCNS 很少被检测到。