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主动脉瓣细菌性心内膜炎及主动脉瓣置换术后的主动脉环脓肿

[Aortic ring abscess following bacterial endocarditis of the aortic valve and aortic valve replacement].

作者信息

Ruffmann K, Schwarz F, Saggau W, Möbius H, Schmitz W, Otto H, Kübler W

出版信息

Z Kardiol. 1985 Nov;74(11):673-5.

PMID:4090583
Abstract

Valve replacement was performed in a 30-year-old male patient with acute aortic insufficiency due to bacterial endocarditis. During a routine examination three months later, an aortic ring abscess was found by echocardiography. In the following night, the patient was readmitted with acute anterior myocardial infarction. Coronary angiography showed a compression of the left coronary artery by the large ring abscess of the aortic valve. 48 hours after surgical revision of the aortic valve prosthesis and the ring abscess, the patient died due to pump failure.

摘要

一名30岁男性患者因细菌性心内膜炎导致急性主动脉瓣关闭不全,接受了瓣膜置换术。三个月后的一次常规检查中,经超声心动图发现主动脉环脓肿。在接下来的夜晚,该患者因急性前壁心肌梗死再次入院。冠状动脉造影显示主动脉瓣大的环脓肿压迫左冠状动脉。在对主动脉瓣假体和环脓肿进行手术修复48小时后,患者因泵衰竭死亡。

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