在食道重建后感染性内心炎的 mitra 门修复:一个病例报告
Shingo Tsushima1, Yutaka Iba2, Tomohiro Nakajima2
1Department of Cardiovascular Surgery, Sapporo Central Hospital, Minami-9, Nishi-10, Chuo-Ward, Sapporo-City, Hokkaido, 064-0809, Japan. s.tsushima@sapmed.ac.jp.
Surgical case reports
|February 9, 2024
概括
这项案例研究表明,在患有感染性内心炎的患者中,成功修复了以往食道重建的 mitra . 安全地使用了重复右胸切除术方法,避免了胸骨切除术的并发症.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 传染性疾病 传染性疾病
背景情况:
- 背面的新食道对心脏手术构成了挑战.
- 在患有传染性内心炎的患者中,标准的中切除风险会损伤导管.
- 在胸切除术后,右肺粘附是常见的,复杂的重新进入.
研究的目的:
- 介绍一个患有传染性内心炎和食道重建病史的患者中关节修复的病例.
- 在这个复杂的场景中,突出显示重复右胸切除术的可行性和安全性.
主要方法:
- 一名66岁的男性患有传染性内心炎和二心植被,经过修复.
- 由于背侧食道重建,进行了重复右胸切除术.
- mitra 门修复涉及植被切除,心周贴片关闭和结婚整形.
主要成果:
- 通过术后抗生素成功控制了患者的感染.
- 重复右胸切除术的方法为米特拉修复提供了安全的途径.
- 患者在术后30天出院,这表明结果是积极的.
结论:
- 重整右胸切除术是一种可行的手术选择,用于在患有后侧食道和传染性内心炎的患者中修复 mitra .
- 这种方法最大限度地降低了损伤的风险,食道重建与骨切除相比.
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