García García J M, Maté I, de Alba J M, Robles P, Gómez J A, Domínguez F, Oliver J, Mesa J M, Sobrino J A
Unidad Médico-Quirúrgica de Cardiología, Hospital General La Paz, Madrid.
Rev Esp Cardiol. 1995 Jul;48(7):496-8.
Prosthetic endocarditis with annular abscess formation is a severe complication of cardiac valve replacement fortunately uncommon, though highly lethal. Increasing surgical experience and the high mortality with medical management have led to a widespread recommendation for early prosthetic replacement. We report a case of a 49 year old man with infective endocarditis due to Staphylococcus aureus in aortic ascendens prosthetic and aortic valve prosthetic complicated with periaortic abscess which was as successful treatment by drain of abscess without prosthetic replacement.
人工瓣膜心内膜炎合并瓣环脓肿形成是心脏瓣膜置换术的一种严重并发症，所幸并不常见，但致死率很高。手术经验的增加以及内科治疗的高死亡率促使人们广泛建议早期进行人工瓣膜置换。我们报告一例49岁男性患者，其升主动脉人工瓣膜和主动脉瓣膜因金黄色葡萄球菌感染发生感染性心内膜炎，并合并主动脉周围脓肿，通过脓肿引流而非人工瓣膜置换获得了成功治疗。
