在大动脉根置换后,使用无门治疗假体内心炎
Yukihiro Hayatsu1, Masaaki Naganuma2, Hayate Nomura2
1Department of Cardiovascular Surgery, Sendai Kosei Hospital, 1-20 Tsutsumidori Amamiyamachi, Aoba Ward, Sendai City, Miyagi, 981-0914, Japan. haya_two@yahoo.co.jp.
Surgical case reports
|July 30, 2024
概括
重复手术的大动脉门手术可能是复杂的,但使用无门可以减少手术时间和死亡率. 这种方法简化了重复处理程序,特别是在假内心炎的情况下.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 生物材料科学 生物材料科学
背景情况:
- 大动脉根置换后的重新手术带来了高死亡率,特别是感染.
- 假体内心炎在治疗大动脉根病理方面具有重大挑战.
- 较短的手术时间和心肺绕道术的持续时间对于改善复杂心脏手术的结果至关重要.
研究的目的:
- 评价使用无门在患有前列动脉根置换后假体门内心炎的患者的可行性和结果.
- 评估无门在减少重复大动脉根手术期间的手术时间和复杂性的潜在好处.
- 突出高级成像和外科手术技术在治疗复杂心血管感染中的作用.
主要方法:
- 一个病例介绍,一名61岁的男性患有急性A型大动脉解剖,正在接受大动脉根和全门置换.
- 用抗真菌疗法治疗术后的真菌内心炎 (Candida parapsilosis) 的管理.
- 重置大动脉根置换,包括移除受感染的生物假体门和植入无门.
主要成果:
- 在移除受感染的生物假体之后,成功植入无门.
- 无事件的术后恢复,没有复发感染的证据.
- 患者在术后28日出院,表明复杂的重复手术的成功管理.
结论:
- 无门提供了一个更简单,更少的侵入性选择来重复大动脉根程序.
- 术前计算机断层扫描对于精确的门大小测定至关重要,对于成功的无门植入至关重要.
- 这一案例证明了治疗假内心炎和复杂的大动脉病理的可行策略.
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