Mestres Carlos A, Quintana Eduard
Department of Cardiothoracic Surgery and The Robert WM Frater Cardiovascular Research Institute, The University of the Free State, PO Box 339 (Internal Box G32), Bloemfontein, 9300 South Africa.
Department of Cardiovascular Surgery, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Indian J Thorac Cardiovasc Surg. 2024 May;40(Suppl 1):155-159. doi: 10.1007/s12055-024-01728-3. Epub 2024 Apr 6.
Infective endocarditis frequently spreads beyond the valve tissue, especially in the aortic location. Invasive endocarditis may lead to abscess formation or fistula, with substantial tissue loss. Here, the case of a 31-year-old male patient with destructive aortic and pulmonary valve endocarditis and a subaortic mural defect who underwent patch closure of the ventricular septal defect and aortic and pulmonary root replacement and right coronary artery bypass graft is presented. This is an uncommon condition and stress is placed on imaging of the technical aspects of the case.
感染性心内膜炎常蔓延至瓣膜组织以外，尤其是主动脉部位。侵袭性心内膜炎可能导致脓肿形成或瘘管，造成大量组织损失。本文介绍了一名31岁男性患者的病例，该患者患有破坏性主动脉和肺动脉瓣心内膜炎及主动脉下壁缺损，接受了室间隔缺损修补、主动脉和肺动脉根部置换以及右冠状动脉搭桥手术。这是一种罕见的病症，重点在于该病例技术方面的影像学表现。
