Niu Yuqing, Cheng Shaoxian, Dong Nianguo, Zhou Cheng
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jingshan Union Hospital, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Cardiovasc Med. 2024 Jul 24;11:1425900. doi: 10.3389/fcvm.2024.1425900. eCollection 2024.
This case report describes a 3-month-old male infant diagnosed with severe mitral stenosis (MS) and mitral regurgitation (MR) by transthoracic echocardiography. The male infant initially underwent complex mitral valve repair surgery. However, postoperative deterioration occurred with hemodynamic instability and shock, necessitating multiple resuscitation efforts and ultimately requiring support from Extracorporeal Membrane Oxygenation (ECMO). Given the serious conditions, the cardiac team decided to perform mitral valve replacement with a fresh allograft aortic valve. Postoperatively, the patient was promptly weaned off ECMO support, and the valve demonstrated sustained functionality throughout the long-term follow-up.
本病例报告描述了一名3个月大的男婴，经胸超声心动图诊断为重度二尖瓣狭窄（MS）和二尖瓣反流（MR）。该男婴最初接受了复杂的二尖瓣修复手术。然而，术后病情恶化，出现血流动力学不稳定和休克，需要多次进行复苏努力，最终需要体外膜肺氧合（ECMO）支持。鉴于病情严重，心脏团队决定用新鲜同种异体主动脉瓣进行二尖瓣置换。术后，患者迅速脱离ECMO支持，并且在长期随访中瓣膜显示出持续的功能。
