Kuraoka Setsuo, Shinonaga Mayumi, Kuramochi Masami, Mitomi Kisato, Suzuki Shuuhei
Department of Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito, Japan.
Kyobu Geka. 2021 Mar;74(3):217-219.
A 45-year-old man was diagnosed with active aortic valve endocarditis accompanied by massive aortic regurgitation, complete atrioventricular block, para-annular abscess and a mobile large vegetation. He underwent emergency resection of the aortic valve, direct closure of the abscess with an autologous pericardium patch and mechanical valve replacement. Acquired communication between the left ventricle and the right atrium was closed simultaneously. Then, adjacent mitral para-annular abscess and another vegetation were revealed by echocardiography, and treated surgically 20 days after the first operation. He underwent mitral valve replacement and closure of the annular abscess. Twenty-one days after the second operation, aortic annular false aneurysm was detected by echocardiography, and closure of the false aneurysm and aortic valve re-replacement were performed successfully.
一名45岁男性被诊断为活动性主动脉瓣心内膜炎，伴有大量主动脉瓣反流、完全性房室传导阻滞、瓣周脓肿及一个可移动的大赘生物。他接受了主动脉瓣紧急切除术、用自体心包补片直接闭合脓肿及机械瓣膜置换术。同时闭合了左心室与右心房之间获得性交通。然后，超声心动图显示相邻的二尖瓣瓣周脓肿及另一个赘生物，并在首次手术后20天进行了手术治疗。他接受了二尖瓣置换术及闭合瓣环脓肿。第二次手术后21天，超声心动图检测到主动脉瓣环假性动脉瘤，成功进行了假性动脉瘤闭合及主动脉瓣再次置换术。
