Frank M W, Mavroudis C, Backer C L, Rocchini A P
Children's Memorial Hospital, Department of Surgery, Northwestern University Medical School, Chicago, Illinois 60614, USA.
Ann Thorac Surg. 1998 Jun;65(6):1788-90. doi: 10.1016/s0003-4975(98)00247-1.
Endocarditis requiring surgical intervention in children is uncommon. Individualized operative therapy must be fashioned to the particular pathology of each case. In this case we describe mitral anterior leaflet homograft patch augmentation valvuloplasty, subaortic homograft patch closure of a large mycotic aneurysm, and homograft aortic root replacement in a 3-year-old patient with endocarditis after remote repair of complete atrioventricular canal.
儿童感染性心内膜炎需要手术干预的情况并不常见。必须根据每个病例的具体病理情况制定个体化的手术治疗方案。在本病例中,我们描述了一名3岁患儿在完全性房室通道远期修复术后发生感染性心内膜炎,采用二尖瓣前叶同种异体移植物补片扩大瓣膜成形术、主动脉瓣下同种异体移植物补片闭合巨大真菌性动脉瘤以及同种异体主动脉根部置换术。