医学
感染性心内膜炎
外科
升主动脉
心内膜炎
假性动脉瘤
脓肿
主动脉瓣
分流(医疗)
主动脉炎
主动脉
心脏病学
内科学
动脉瘤
作者
Yuka Sueta,Toshirô Kobayashi,Sarii Tsubone,Mitsutaka Jinbo,Naomasa Uesugi,Satoshi Saito,Tsuyoshi Takahashi,Hidenori Gohra
出处
期刊:PubMed
日期:2023-09-01
卷期号:76 (9): 699-702
摘要
A 68-year-old woman with immunosuppressive state following chemotherapy for cancer of unknown primary origin developed infective endocarditis due to methicillin-resistant Staphylococcus aureus (MRSA). Echocardiography showed shunt blood flow from the aortic annular abscess into the left atrium, which indicated infection of the intervalvular fibrosa (IVF). She underwent Commando procedure owing to progression of heart failure. The aortic valve, IVF, and anterior leaflet of the mitral valve were resected. The mitral valve was replaced with a bioprosthesis, and a bovine pericardial patch was used to reconstruct the IVF and left atrial roof. Bentall procedure was performed because the infection extended to the sinus of Valsalva, and the ascending aorta was 49 mm in diameter. She had no serious postoperative complications and is currently being followed up at the outpatient clinic. Because infection in these patients are potentially fatal, we believe Commando procedure is effective in spite of high early mortality rate.
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