Dib Chadi, Baddour Larry M
Department of Medicine, and the Division of Infectious Diseases, College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Am J Med Sci. 2009 Feb;337(2):148-9. doi: 10.1097/MAJ.0b013e31817e0f6b.
Infective endocarditis with systemic embolization of the gallbladder vasculature is very rare. We describe a case of subacute infective endocarditis in an adult complicated by embolization of the right hepatic artery with subsequent gallbladder infarction. In these cases, appropriate antibiotic therapy should be given before and after cholecystectomy. Gallbladder resection should be performed before valve replacement to decrease the potential seeding of a prosthetic valve.
感染性心内膜炎伴胆囊血管系统发生系统性栓塞极为罕见。我们描述了一例成人亚急性感染性心内膜炎，该病例并发右肝动脉栓塞，随后出现胆囊梗死。对于这些病例，在胆囊切除术前和术后均应给予适当的抗生素治疗。应在瓣膜置换术前进行胆囊切除术，以减少人工瓣膜潜在的感染播散。
