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[急性细菌性二尖瓣心内膜炎中的霉菌性动脉瘤。附病例报告]

[Mycotic aneurysm in acute bacterial mitral valve endocarditis. Apropos of a case].

作者信息

Rémadi J P, de Salle H, Baron O, al Habash O, Zareski E, Hamy A, de Kersaint-Gilly A, Michaud J L

机构信息

Service de chirurgie thoracique, cardiovasculaire et vasculaire, Nantes.

出版信息

Arch Mal Coeur Vaiss. 1998 Jul;91(7):899-902.

PMID:9749184
Abstract

A 24 year old man presented with acute endocarditis of the mitral valve. Rupture of a mycotic cerebral aneurysm on the 20th day was successfully treated by interventional catheterisation. Several days later, he underwent mitral valvuloplasty under good conditions. The postoperative period was uncomplicated but emergency surgery was required for a mycotic aneurysm of the superior mesenteric artery. The patient was discharged from hospital without severe neurological sequellae and with a continent mitral valve.

摘要

一名24岁男性患有二尖瓣急性心内膜炎。在第20天时,霉菌性脑动脉瘤破裂,通过介入导管插入术成功治疗。几天后,他在良好的状态下接受了二尖瓣成形术。术后恢复顺利,但因肠系膜上动脉霉菌性动脉瘤需要进行急诊手术。患者出院时没有严重的神经后遗症,二尖瓣功能正常。

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