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联合治疗影响罗斯手术中自体移植物的特殊白塞病。

Combined Treatment for Unusual Behçet's Disease Influencing the Autograft in the Ross Procedure.

作者信息

Senzai Mikiko, Tsutsumi Yasushi, Monta Osamu

机构信息

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan.

出版信息

JACC Case Rep. 2024 Sep 4;29(17):102481. doi: 10.1016/j.jaccas.2024.102481.

Abstract

We report an unusual case of Behçet's disease possibly induced by surgical invasion, resulting in a recurrent pseudoaneurysm at the aortic root leading to the inflammation of the autograft of a Ross procedure. The diagnosis was challenging because of clinical presentations that resembled infectious endocarditis, however, effective surgical treatment was achieved with perioperative anti-inflammatory therapy.

摘要

我们报告了一例罕见的白塞病病例,可能由手术侵袭诱发,导致主动脉根部反复出现假性动脉瘤,进而引发罗斯手术自体移植物的炎症。由于临床表现类似于感染性心内膜炎,诊断颇具挑战性,然而,通过围手术期抗炎治疗实现了有效的手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc8/11442164/7836be8f7d4b/ga1.jpg

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