Mitral Valve Re-Repair in an Adolescent Patient with Prosthetic Ring Endocarditis: Posterior Leaflet Augmentation and Posterior Strip Annuloplasty

Mitral Valve Re-Repair in an Adolescent Patient with Prosthetic Ring Endocarditis: Posterior Leaflet Augmentation and Posterior Strip Annuloplasty
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DOI:
10.1111/j.1540-8191.2012.01519.x
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发表时间:
2012-09-01
影响因子:
1.6
通讯作者:
Kim, Won Ho
Kim, Won Ho
中科院分区:
医学4区
文献类型:
--
作者:
Choi, Jong Bum;Kim, Kyung Hwa;Kim, Won Ho

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二尖瓣环成形术后发生心内膜炎并不常见。二尖瓣瓣环成形术中使用的成形环通常不合适,因为它阻碍了二尖瓣瓣叶和瓣环的生长。我们报告一名15岁男性,在之前的二尖瓣瓣环成形术后40个月因人工瓣膜环心内膜炎需要再次手术。取出之前的瓣膜成型环后,通过心包加固修复生长不足的后叶,并使用Mitra-Lift(R)环上条带稳定后瓣环,以保留柔性瓣口,并允许前MV瓣环和连合相对于身体尺寸生长。doi:10.1111/j.1540-8191.2012.01519.x(J Card Surg 2012;27:560-562)
Endocarditis after mitral valve (MV) annuloplasty is uncommon. The ring used in MV annuloplasty is often inadequate because it opposes the growth of the MV leaflets and annulus. We report a 15-year-old male that required redo surgery for prosthetic ring endocarditis 40 months after a previous MV annuloplasty. After the previous ring was removed, the undergrown posterior leaflet was repaired with pericardial augmentation and the posterior annulus was stabilized with a Mitra-Lift (R) supra-annular strip to preserve a flexible valve orifice and allow the anterior MV annulus and the commissures to grow in relation to body size. doi: 10.1111/j.1540-8191.2012.01519.x (J Card Surg 2012;27:560-562)