Fischlein T, Detter C, Haushofer M, Uberfuhr P, Weinhold C, Kreuzer E, Reichart B
Department of Cardiac Surgery, Klinikum Grosshadern, University of Munich, Germany.
J Cardiovasc Surg (Torino). 1994 Oct;35(5):395-8.
This report concerns the surgical treatment of a 45-year old patient with active staphylococcus-endocarditis of the aortic valve which resulted in an aortic root abscess and consequently in a ventricular aortic discontinuity. A technique of homograft aortic root replacement after removal of all infected and necrotic areas is described. After a six month follow-up, the patient is asymptomatic (New York Heart Association functional class I) and shows no signs of recurrence of endocarditis. This case report makes the benefit of an in-house homograft-bank system obvious.
本报告涉及一名45岁主动脉瓣活动性葡萄球菌性心内膜炎患者的外科治疗，该疾病导致主动脉根部脓肿，并进而导致心室与主动脉连续性中断。文中描述了一种在清除所有感染和坏死区域后进行同种异体主动脉根部置换的技术。经过六个月的随访，患者无症状（纽约心脏协会心功能分级为I级），且无感染性心内膜炎复发迹象。本病例报告凸显了内部同种异体移植物库系统的益处。
