在患有感染状环状化症的患者中,用结婚整形术进行状置换
Tatsuya Horibe1, Hideaki Hidaka1, Ryosuke Numaguchi1
1Department of Cardiovascular Surgery Kumamoto University Hospital Kumamoto Japan.
Clinical case reports
|August 18, 2023
概括
手术切除受感染的额头环结石化和用心周贴片重建心周贴片是感染性内心炎的有效治疗方法. 这种方法解决了 mitra annulus 中的化和感染,改善了患者的治疗结果.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 心脏成像 - - 心脏成像
背景情况:
- 额头环状化 (MAC) 是老年患者的常见发现.
- 在MAC存在的传染性内心炎 (IE) 带来了独特的外科手术挑战.
- 左侧半和意识变化可能是IE的并发症.
研究的目的:
- 描述一个手术策略来治疗感染性内心炎在一个患者显著的额头环状化.
- 为了评估与环状脱bridement和重建的中枢替换的有效性.
主要方法:
- 一名78岁的女性患者出现了半,发烧和失去意识.
- 胸外心电回声检查发现了额头环状化和后额头环状叶片上的质量.
- 外科干预包括额头心置换,感染的额头心的脱bridation,和使用牛心周贴片的annuloplasty.
主要成果:
- 取得了成功的 mitra 门置换和感染的 mitra 环的除菌.
- 用心周贴片进行后侧环形的重建.
- 患者的病情在手术后得到改善.
结论:
- 感染的化环的广泛切除和用心周贴片重建是患有甲状环化的患者感染性内心炎的有效手术选择.
- 这种技术可以在复杂的情况下管理感染和进行结构修复.
- 中心环状化不排除成功手术治疗传染性内心炎.
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