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感染性心内膜炎患者自体心包三尖瓣修复术。

Tricuspid Valve Repair with Autologous Pericardium in a Patient with Infective Endocarditis.

机构信息

Colsubsidio Investiga Research Group, Clínica Infantil de Colsubsidio, Bogotá, Colombia.

Pediatric Cardiovascular Surgery Department, Clínica Infantil de Colsubsidio, Bogotá Colombia.

出版信息

Braz J Cardiovasc Surg. 2021 Feb 1;36(1):137-139. doi: 10.21470/1678-9741-2019-0287.

DOI:10.21470/1678-9741-2019-0287
PMID:33594869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7918392/
Abstract

Infective endocarditis is a rather uncommon disease, but it has significant mortality rates in the pediatric population (5% to 10%). We report a case of an infant patient with multiple vegetation in the tricuspid valve secondary to infective endocarditis caused by Corynebacterium diphtheriae. A tricuspid valvuloplasty was performed with a fenestrated autologous pericardium patch, providing satisfactory outcomes. This technique is simple, innovative, effective, and it could be applied in similar cases.

摘要

感染性心内膜炎是一种相当罕见的疾病,但在儿科人群中死亡率较高(5%至 10%)。我们报告了一例婴儿患者,因白喉棒状杆菌引起的感染性心内膜炎导致三尖瓣多发性赘生物。使用带孔自体心包补片进行三尖瓣瓣成形术,取得了满意的效果。该技术简单、创新、有效,可应用于类似病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/eea57f25cd93/rbccv-36-01-0137-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/50ea6d45883f/rbccv-36-01-0137-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/2bafe4e22b43/rbccv-36-01-0137-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/eea57f25cd93/rbccv-36-01-0137-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/50ea6d45883f/rbccv-36-01-0137-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/2bafe4e22b43/rbccv-36-01-0137-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d4d/7918392/eea57f25cd93/rbccv-36-01-0137-g03.jpg

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本文引用的文献

1
Comparison of Biological and Mechanical Prostheses for Heart Valve Surgery: A Systematic Review of Randomized Controlled Trials.心脏瓣膜手术中生物假体与机械假体的比较:随机对照试验的系统评价。
Arq Bras Cardiol. 2019 Mar;112(3):292-301. doi: 10.5935/abc.20180272. Epub 2019 Jan 7.
2
Infective endocarditis in children: an update.儿童感染性心内膜炎:最新进展
Curr Opin Infect Dis. 2017 Jun;30(3):257-267. doi: 10.1097/QCO.0000000000000370.
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Surgical management of tricuspid valve endocarditis in the current era: A review.当代三尖瓣心内膜炎的外科治疗:综述
Int J Cardiol. 2016 Jan 1;202:44-8. doi: 10.1016/j.ijcard.2015.08.211. Epub 2015 Aug 31.
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Infective Endocarditis in Childhood: 2015 Update: A Scientific Statement From the American Heart Association.儿童感染性心内膜炎:2015年更新:美国心脏协会科学声明
Circulation. 2015 Oct 13;132(15):1487-515. doi: 10.1161/CIR.0000000000000298. Epub 2015 Sep 15.
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Eur Heart J. 2015 Nov 21;36(44):3075-3128. doi: 10.1093/eurheartj/ehv319. Epub 2015 Aug 29.
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Extensive tricuspid valve repair after endocarditis using CorMatrix extracellular matrix.采用 CorMatrix 细胞外基质进行心内膜炎后广泛三尖瓣修复。
Ann Thorac Surg. 2014 Mar;97(3):1048-50. doi: 10.1016/j.athoracsur.2013.05.117.
7
Early surgical therapy of infective endocarditis in children: a 15-year experience.儿童感染性心内膜炎的早期外科治疗:15 年经验。
J Thorac Cardiovasc Surg. 2013 Sep;146(3):506-11. doi: 10.1016/j.jtcvs.2012.12.001. Epub 2013 Jan 9.
8
Surgical management of endocarditis: the society of thoracic surgeons clinical practice guideline.心内膜炎的外科治疗:胸外科医师协会临床实践指南
Ann Thorac Surg. 2011 Jun;91(6):2012-9. doi: 10.1016/j.athoracsur.2011.01.106.