一名5岁儿童的主动脉根部脓肿及右冠状动脉异常起源于主动脉
Aortic root abscess and anomalous aortic origin of right coronary artery in a 5-year-old child.
作者信息
Kandachar Pranav Subbaraya, Balushi Abdullah Al, Al Aamri Is'haq, Al-Khouri Maryam Abdul-Jabbar Abdullah, Menon Raj Gopal, Zacharias Sunny
机构信息
Department of Cardiothoracic Surgery, Royal Hospital, Muscat, Oman.
Department of Pediatric Cardiology, Royal Hospital, Muscat, Oman.
出版信息
J Card Surg. 2022 Nov;37(11):3872-3875. doi: 10.1111/jocs.16877. Epub 2022 Sep 2.
BACKGROUND
Aortic root abscess is a rare complication of infective endocarditis in children.
CASE REPORT
A 5-year-old boy with infective endocarditis of aortic valve and an anterior aortic root abscess was found to have anomalous aortic origin of right coronary artery from the left coronary sinus on computed tomography scan with contrast.
RESULT
He was managed surgically by "patch and prosthesis" approach and required aortic root enlargement. Since anomalous aortic origin of right coronary artery is a relative contraindication for a Konno-Rastan aortic root enlargement, a Manouguian procedure was performed.
CONCLUSION
Anterior aortic root abscesses are rare, the co-existence of anomalous aortic origin of right coronary artery is rarer still and such cases requiring aortic root enlargement are possibly best served by a Manouguian procedure.
背景
主动脉根部脓肿是儿童感染性心内膜炎的一种罕见并发症。
病例报告
一名5岁患有主动脉瓣感染性心内膜炎及主动脉根部前方脓肿的男孩，在增强计算机断层扫描中发现右冠状动脉从左冠状窦异常起源于主动脉。
结果
他通过“补片和假体”方法接受手术治疗，且需要扩大主动脉根部。由于右冠状动脉异常起源于主动脉是Konno-Rastan主动脉根部扩大术的相对禁忌证，因此实施了Manouguian手术。
结论
主动脉根部前方脓肿罕见，右冠状动脉异常起源于主动脉的情况更为罕见，而这种需要扩大主动脉根部的病例可能最好采用Manouguian手术。
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