Uspešan tretman zahtevnog slučaja infektivnog endokarditisa
Ključne reči:
endokarditis, fibrozni srčani skelet, kardiohirurško lečenje
Sažetak
Uvod: Prikazujemo uspešno kardiohirurški lečenog pacijenta sa oštećenjem fibroznog srčanog skeleta izazvanog uznapredovalim infektivnim endokarditisom nakon zamene aortne valvule.
Prikaz slučaja: Ponovna procedura je urađena kroz srednju sternotomiju uz korišćenje kardiopulmonalnog bajpasa. Ekscidirane su veštačka aortna i nativna mitralna valvula i uklonjena sva zaražena tkiva. Rekonstrukcija fibroznog srčanog skeleta urađena je pomoću dva autologna perikardijalna režnja prema Tirone-David-u. Ugrađene su obe mehaničke valvule.
Zaključak: Uspešno lečenje jednog od najtežih stanja u kardiohirurgiji je moguće u našoj zemlji.
Reference
1. Saremi F, Sanchez-Quintana D, Mori S, Muresian H, Spicer DE, Hassani C, et al. Fibrous Skeleton of the Heart: Anatomic Overview and Evaluation of Pathologic Conditions with CT and MR Imaging. Radiographics 2017;37:1330-1351.
2. Cahill TJ, Baddour LM, Habib G, Hoen B, Salaun E, Pettersson GB, et al. Challenges in Infective Endocarditis. J Am Coll Cardiol. 2017;69:325-344.
3. Vincent LL, Otto CM. Infective Endocarditis: Update on Epidemiology, Outcomes, and Management. Curr Cardiol Rep. 2018. doi: 10.1007/s11886-018-1043-2.
4. Miletic K, Tong MZ. Fibrous skeleton reconstruction for invasive aortic and mitral valve endocarditis. Asian Cardiovasc Thorac Ann. 2020;28:381-383.
5. Kim JH, Lee HJ, Ku NS, Lee SH, Lee S, Choi JY, et al. Infective endocarditis at a tertiary care hospital in South Korea. Heart. 2020. doi: 10.1136/heartjnl-2020-317265.
6. Nilto CDO, David TE, Susan A. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: An analysis of clinical outcomes. J Thorac Cardiovasc Surg 2005;129:286-290.
7. Talha KM, DeSimone DC, Sohail MR, Baddour LM. Pathogen influence on epidemiology, diagnostic evaluation and management of infective endocarditis. Heart. 2020. doi: 10.1136/heartjnl-2020-317034.
8. Lazaros G, Lazarou E, Tousoulis D. Predicting mortality in infective endocarditis: More light in a hazy landscape. Hellenic J Cardiol. 2020. doi: 10.1016/j.hjc.2020.09.013.
9. De Oliveira NC, David TE, Armstrong S, Ivanov J. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes. J Thorac Cardiovasc Surg. 2005;129:286-290.
10. Pettersson GB, Hussain ST, Ramankutty RM, Lytle BW, Blackstone EH. Reconstruction of fibrous skeleton: technique, pitfalls and results. Multimed Man Cardiothorac Surg. 2014. doi: 10.1093/mmcts/mmu004.
11. Parish LM, Liu L, Woo YJ. Endocarditis with massive aortic root abscess and atrioventricular septal destruction. Interact Cardiovasc Thorac Surg. 2009;8:280-282.
12. Davierwala PM, Binner C, Subramanian S, Luehr M, Pfannmueller B, Etz C, et al. Double valve replacement and reconstruction of the intervalvular fibrous body in patients with active infective endocarditis. Eur J Cardiothorac Surg. 2014;45:146-152.
2. Cahill TJ, Baddour LM, Habib G, Hoen B, Salaun E, Pettersson GB, et al. Challenges in Infective Endocarditis. J Am Coll Cardiol. 2017;69:325-344.
3. Vincent LL, Otto CM. Infective Endocarditis: Update on Epidemiology, Outcomes, and Management. Curr Cardiol Rep. 2018. doi: 10.1007/s11886-018-1043-2.
4. Miletic K, Tong MZ. Fibrous skeleton reconstruction for invasive aortic and mitral valve endocarditis. Asian Cardiovasc Thorac Ann. 2020;28:381-383.
5. Kim JH, Lee HJ, Ku NS, Lee SH, Lee S, Choi JY, et al. Infective endocarditis at a tertiary care hospital in South Korea. Heart. 2020. doi: 10.1136/heartjnl-2020-317265.
6. Nilto CDO, David TE, Susan A. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: An analysis of clinical outcomes. J Thorac Cardiovasc Surg 2005;129:286-290.
7. Talha KM, DeSimone DC, Sohail MR, Baddour LM. Pathogen influence on epidemiology, diagnostic evaluation and management of infective endocarditis. Heart. 2020. doi: 10.1136/heartjnl-2020-317034.
8. Lazaros G, Lazarou E, Tousoulis D. Predicting mortality in infective endocarditis: More light in a hazy landscape. Hellenic J Cardiol. 2020. doi: 10.1016/j.hjc.2020.09.013.
9. De Oliveira NC, David TE, Armstrong S, Ivanov J. Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes. J Thorac Cardiovasc Surg. 2005;129:286-290.
10. Pettersson GB, Hussain ST, Ramankutty RM, Lytle BW, Blackstone EH. Reconstruction of fibrous skeleton: technique, pitfalls and results. Multimed Man Cardiothorac Surg. 2014. doi: 10.1093/mmcts/mmu004.
11. Parish LM, Liu L, Woo YJ. Endocarditis with massive aortic root abscess and atrioventricular septal destruction. Interact Cardiovasc Thorac Surg. 2009;8:280-282.
12. Davierwala PM, Binner C, Subramanian S, Luehr M, Pfannmueller B, Etz C, et al. Double valve replacement and reconstruction of the intervalvular fibrous body in patients with active infective endocarditis. Eur J Cardiothorac Surg. 2014;45:146-152.
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2020/12/22
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