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一例罕见的伴有复发性心内膜炎并合并主动脉根部假性动脉瘤的二叶式主动脉瓣病例。

A Rare Case of Bicuspid Aortic Valve With Recurrent Endocarditis Complicated by an Aortic Root Pseudoaneurysm.

作者信息

Al Lawati Meetham, Al-Attraqchi Mustafa, Sirasanagandla Srinivasa, Khriji Salma, Al-Hadhrami Wijdan, Aboul-Azm Ahmed, Abdelsayed Amir, Al Umairi Rashid Saif

机构信息

Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.

Department of Human and Clinical Anatomy, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.

出版信息

Cureus. 2022 Feb 13;14(2):e22161. doi: 10.7759/cureus.22161. eCollection 2022 Feb.

DOI:10.7759/cureus.22161
PMID:35308739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8922053/
Abstract

This is a case report of a 35-year-old man who was diagnosed with a bicuspid aortic valve associated with recurrent endocarditis complicated by an aortic root pseudoaneurysm. The pseudoaneurysm is a rare complication. In patients with infective endocarditis (IE), aortic root repair by bovine pericardial patch and subsequent graft infections are considered to be one of the most common risk factors linked to postoperative aortic root pseudoaneurysms. Aneurysms can appear as saccular bulges and are often misdiagnosed as prolapse. The presentation and complicated management are discussed in this case report.

摘要

这是一例35岁男性的病例报告，该患者被诊断为二叶式主动脉瓣合并复发性心内膜炎，并伴有主动脉根部假性动脉瘤。假性动脉瘤是一种罕见的并发症。在感染性心内膜炎（IE）患者中，采用牛心包补片进行主动脉根部修复以及随后发生的移植物感染被认为是与术后主动脉根部假性动脉瘤相关的最常见危险因素之一。动脉瘤可表现为囊状膨出，常被误诊为脱垂。本病例报告讨论了其临床表现及复杂的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c3/8922053/07205ad97356/cureus-0014-00000022161-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c3/8922053/07205ad97356/cureus-0014-00000022161-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c3/8922053/07205ad97356/cureus-0014-00000022161-i01.jpg

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本文引用的文献

1
Prevalence of Bicuspid Aortic Valve and Associated Aortopathy in Newborns in Copenhagen, Denmark.丹麦哥本哈根新生儿二叶式主动脉瓣及相关主动脉病变的流行情况。
JAMA. 2021 Feb 9;325(6):561-567. doi: 10.1001/jama.2020.27205.
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Contemporary epidemiology and outcomes in recurrent infective endocarditis.复发性感染性心内膜炎的当代流行病学和结局。
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Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa: A Case Series with Literature Review.二尖瓣 - 主动脉瓣间纤维结缔组织假性动脉瘤：病例系列及文献综述
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Rupture of equine pericardial aortic-root patch after aortic valve replacement with aortic annulus enlargement: a case report.主动脉瓣置换并扩大主动脉瓣环后马心包主动脉根部补片破裂：一例报告
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MDCT evaluation of aortic root surgical complications.多层螺旋 CT 评估主动脉根部手术并发症。
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Early pseudoaneurysm degeneration in biologic extracellular matrix patch for carotid repair.用于颈动脉修复的生物细胞外基质补片早期假性动脉瘤退变
J Vasc Surg. 2014 Apr;59(4):1116-8. doi: 10.1016/j.jvs.2013.05.012. Epub 2013 Jul 1.
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Reoperations for aortic false aneurysms after cardiac surgery.心脏手术后主动脉假性动脉瘤的再次手术。
Ann Thorac Surg. 2010 Nov;90(5):1437-43. doi: 10.1016/j.athoracsur.2010.06.103.
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Recurrent infective endocarditis: a multivariate analysis of 21 years of experience. arenzul@tin.it.复发性感染性心内膜炎：21年经验的多变量分析。arenzul@tin.it.
Ann Thorac Surg. 2001 Jul;72(1):39-43. doi: 10.1016/s0003-4975(01)02703-5.
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Clinical significance of the bicuspid aortic valve.二叶式主动脉瓣的临床意义。
Heart. 2000 Jan;83(1):81-5. doi: 10.1136/heart.83.1.81.