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分期腹腔镜脾切除术及瓣膜置换术治疗脾脓肿合并感染性心内膜炎

Staged laparoscopic splenectomy and valve replacement in splenic abscess and infective endocarditis.

作者信息

Simsir Sinan A, Cheeseman Sarah H, Lancey Robert A, Vander Salm Thomas J, Gammie James S

机构信息

Division of Cardiac Surgery, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts, USA.

出版信息

Ann Thorac Surg. 2003 May;75(5):1635-7. doi: 10.1016/s0003-4975(02)04769-0.

Abstract

Splenic abscess is a rare clinical entity that is most commonly associated with infective endocarditis. Valve replacement in the setting of an unaddressed splenic abscess is associated with a high incidence of prosthetic valve infection and death. We describe 2 patients with infective endocarditis and splenic abscess treated by laparoscopic splenectomy followed by valve replacement.

摘要

脾脓肿是一种罕见的临床病症,最常与感染性心内膜炎相关。在未处理的脾脓肿情况下进行瓣膜置换与人工瓣膜感染和死亡的高发生率相关。我们描述了2例感染性心内膜炎合并脾脓肿的患者,他们接受了腹腔镜脾切除术后再进行瓣膜置换治疗。

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