病例报告：主动脉瓣心内膜炎和复发性肺动脉瓣狭窄。
Case report: Aortic valve endocarditis and recurrent pulmonary valve stenosis.
机构信息
Department of Cardiac Surgery, Middle German Heart Centre, University Hospital Halle (Saale), Martin-Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
出版信息
J Cardiothorac Surg. 2023 Mar 21;18(1):89. doi: 10.1186/s13019-023-02184-7.
BACKGROUND
We discuss a rare case of an adult patient with different pathologies involving the aortic and pulmonary valves in need of surgery.
CASE PRESENTATION
The patient had a history of congenital PV stenosis and surgical valvuloplasty. Almost 50 years later the patient underwent a complex second heart surgery due to infective endocarditis of the aortic valve and high-grade restenosis of the pulmonary valve. Replacement of the aortic and pulmonary valve, as well as reconstruction of the RVOT and closure of a persistent foramen ovale, followed. Postoperative course was uneventful and the patient was discharged home a week after surgery.
CONCLUSION
Simultaneous surgery of pulmonary and aortic valves due to different pathologies is rare but can be performed successfully even in advanced age and can improve quality of life.
背景
我们讨论了一例罕见的成年患者，其主动脉瓣和肺动脉瓣存在不同的病变，需要手术治疗。
病例介绍
患者既往有先天性肺动脉瓣狭窄和外科瓣成形术病史。近 50 年后，患者因主动脉瓣感染性心内膜炎和肺动脉瓣高度再狭窄行复杂的二次心脏手术。随后进行了主动脉瓣和肺动脉瓣置换，以及右心室流出道重建和卵圆孔未闭关闭术。术后过程顺利，患者在手术后一周出院回家。
结论
由于不同的病变而同时进行肺动脉瓣和主动脉瓣手术较为罕见，但即使在高龄时也可以成功进行，并且可以提高生活质量。
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