[1例因感染性心内膜炎导致的四叶式主动脉瓣合并主动脉瓣反流及重度二尖瓣反流的外科病例]
[A surgical case of quadricuspid aortic valve associated aortic regurgitation and severe mitral regurgitation due to infective endocarditis].
作者信息
Asami H, Asano H, Handa N, Nakamura S, Ogiwara M, Ueda K, Kyo S, Yokote Y, Omoto R
机构信息
First Department of Surgery, Saitama Medical School, Japan.
出版信息
Kyobu Geka. 1998 Mar;51(3):216-9.
We report a case of rare anomaly of quadricuspid aortic valve associated aortic regurgitation and severe mitral regurgitation due to infective endocarditis. A 50-year-old man was admitted to our hospital for fever and dyspnea. The transesophageal echocardiography showed severe aortic regurgitation due to four equal aortic cusps and severe mitral regurgitation due to infective endocarditis. At the operation, aortic valve and mitral valve were replaced with 23 mm and 29 mm SJM valves. His postoperative course was uneventful.
我们报告一例罕见的四叶式主动脉瓣异常合并感染性心内膜炎所致主动脉瓣反流及严重二尖瓣反流的病例。一名50岁男性因发热和呼吸困难入院。经食管超声心动图显示，由于四个相等的主动脉瓣叶导致严重主动脉瓣反流，以及因感染性心内膜炎导致严重二尖瓣反流。手术中，分别用23毫米和29毫米的圣犹达医疗公司（SJM）瓣膜置换主动脉瓣和二尖瓣。他术后恢复顺利。
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