Mikami Tsubasa, Yoshioka Daisuke, Kawamura Takuji, Toda Koichi, Sawa Yoshiki, Miyagawa Shigeru
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Int J Surg Case Rep. 2021 Nov;88:106527. doi: 10.1016/j.ijscr.2021.106527. Epub 2021 Oct 18.
Left ventricular outflow tract pseudoaneurysm associated with infective endocarditis is a rare but life-threatening condition.
A 68-year-old man developed infective endocarditis of a bicuspid aortic valve with suspected annulus abscess and was transferred to our department for further treatment. Cardiac workup revealed the formation of a left ventricular outflow tract pseudoaneurysm penetrating the right atrium. We successfully treated the patient with pseudoaneurysm repair using a bovine pericardium patch in combination with aortic valve replacement. The patient was uneventfully discharged after 6-week antibiotic therapy and remained well for the following 2 years.
Surgery is the recommended treatment for left ventricular outflow tract pseudoaneurysms. Accurate diagnosis and identification of the anatomical conditions are crucial for determining the appropriate treatment.
When considering the appropriate surgical treatment for left ventricular outflow tract pseudoaneurysm associated with infective endocarditis, pseudoaneurysm repair using a bovine pericardial patch and concomitant aortic valve replacement can be an effective and feasible therapeutic option.
与感染性心内膜炎相关的左心室流出道假性动脉瘤是一种罕见但危及生命的疾病。
一名68岁男性患二叶式主动脉瓣感染性心内膜炎，怀疑有瓣环脓肿，被转至我科进一步治疗。心脏检查发现形成了一个穿透右心房的左心室流出道假性动脉瘤。我们使用牛心包补片联合主动脉瓣置换术成功修复了该患者的假性动脉瘤。患者在接受6周抗生素治疗后顺利出院，并在接下来的2年里状况良好。
手术是治疗左心室流出道假性动脉瘤的推荐方法。准确诊断和识别解剖情况对于确定合适的治疗方法至关重要。
在考虑对与感染性心内膜炎相关的左心室流出道假性动脉瘤进行适当的手术治疗时，使用牛心包补片修复假性动脉瘤并同时进行主动脉瓣置换术可能是一种有效且可行的治疗选择。
