Bayón J, Sabugo R, Berrot A D, Rodríguez M A, Fidalgo M L, Santos I, Fraile J, Simarro E
Servicio de Cardiología, Complejo Hospitalario de León.
Rev Esp Cardiol. 1994 Aug;47(8):571-3.
This is the case of a 31 year old man with Brucella aortic valvular endocarditis which first manifested itself clinically as an acute myocardial infarction (AMI). He subsequently developed an acute aortic regurgitation, which together with the ventricular disfunction secondary to the myocardial necrosis caused severe heart failure requiring aortic valve replacement and aortic coronary graft in a first operation. The patient's subsequent evolution was negative with congestive heart failure refractory to medical treatment. For this reason he was submitted to a second operation in which an orthotopic cardiac transplant was carried out with good results. The patient remains symptom-free and has returned to his work.
这是一名31岁男性布鲁氏菌性主动脉瓣心内膜炎患者的病例，该病最初临床表现为急性心肌梗死（AMI）。随后他出现了急性主动脉瓣关闭不全，与心肌坏死继发的心室功能障碍一起导致严重心力衰竭，在首次手术中需要进行主动脉瓣置换和主动脉冠状动脉搭桥术。患者随后的病情发展不佳，药物治疗难以控制充血性心力衰竭。因此，他接受了第二次手术，进行了原位心脏移植，效果良好。患者目前无症状，已重返工作岗位。
