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[急性栓塞性心肌梗死并发生物瓣无支架主动脉瓣心内膜炎]

[Acute embolic myocardial infarction complicating bioprosthetic stentless aortic valve endocarditis].

作者信息

Brambilla Gabriella, Ferratini Maurizio, Heyman Joanna, Racca Vittorio, Danna Paolo, Lemma Massimo, Antona Carlo

机构信息

U.O. di Cardiologia Riabilitativa Fondazione Don Gnocchi ONLUS Via Capecelatro, 66 20148 Milano.

出版信息

Ital Heart J Suppl. 2003 Jul;4(7):594-7.

Abstract

We describe the case of bioprosthetic stentless aortic valve endocarditis due to Staphylococcus epidermidis in a female patient, who previously underwent mitral and aortic valve replacement: she presented left main coronary artery occlusion due to septic embolus with subsequent myocardial infarction complicated by cardiogenic shock. We discuss the therapeutic strategies, both medical and interventional, and the surgical options.

摘要

我们描述了一名女性患者因表皮葡萄球菌感染导致生物假体无支架主动脉瓣心内膜炎的病例,该患者此前接受过二尖瓣和主动脉瓣置换术:她因脓毒性栓子导致左主冠状动脉闭塞,随后发生心肌梗死,并并发心源性休克。我们讨论了药物和介入治疗策略以及手术选择。

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