One-Stage Mitral Valve Replacement And Splenectomy In Splenic Infarcts And Infective Endocarditis

V. Gegouskov, P. Petrov, D. Simov, V. Danov, J. Blagov, S. Petrov
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引用次数: 2

Abstract

Infective endocarditis associated with spleen infarcts is common and very complicated condition. Splenic lesions in infective endocarditis are presented of infarcts and abscesses. Operative mortality in such patients is high. The septic status, heart failure, hemodynamic instability, renal dysfunction make the success much difficult. Use of abdominal Computed Tomography to locate infectious sources is of paramount importance for the treatment plan. We present one case of infective endocarditis, complicated by infected splenic infarcts and heart failure. On urgent conditions we performed one-stage mitral valve replacement and splenectomy.
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一期二尖瓣置换术和脾切除术治疗脾梗死和感染性心内膜炎
感染性心内膜炎合并脾梗死是一种常见且非常复杂的疾病。感染性心内膜炎的脾损害表现为梗死和脓肿。这类患者的手术死亡率很高。脓毒症、心力衰竭、血流动力学不稳定、肾功能不全使手术成功非常困难。使用腹部计算机断层扫描来定位感染源对治疗计划至关重要。我们报告一例感染性心内膜炎,并发感染性脾梗死和心力衰竭。在紧急情况下,我们进行了一期二尖瓣置换术和脾切除术。
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