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冠状动脉栓塞并发主动脉瓣心内膜炎:经冠状动脉成形术成功治疗

Coronary embolism complicating aortic valve endocarditis: treatment with successful coronary angioplasty.

作者信息

Ural Ertan, Bildirici Ulaş, Kahraman Göksel, Komsuoğlu Baki

出版信息

Int J Cardiol. 2007 Jul 31;119(3):377-9. doi: 10.1016/j.ijcard.2006.07.180. Epub 2006 Oct 27.

Abstract

A 59-year-old female was hospitalised with the diagnosis of infective endocarditis. On the fifth day of her antibiotic treatment, she experienced an anterior ST segment elevation myocardial infarction. Emergency transthoracic echocardiography showed that the vegetation on the aortic valve did not exist anymore. It was thought to be an embolic myocardial infarction. Primary percutaneous coronary intervention with conventional balloon angioplasty was performed. TIMI-3 flow was obtained after intervention. Antibiotic treatment was continued for 6 weeks. She was uneventful at the end of the 3-month follow-up.

摘要

一名59岁女性因感染性心内膜炎入院。在抗生素治疗的第五天,她发生了前壁ST段抬高型心肌梗死。急诊经胸超声心动图显示主动脉瓣上的赘生物已不复存在。考虑为栓塞性心肌梗死。进行了常规球囊血管成形术的直接经皮冠状动脉介入治疗。介入治疗后获得了TIMI-3级血流。抗生素治疗持续6周。在3个月的随访结束时,她情况平稳。

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