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二尖瓣感染性心内膜炎后肱动脉感染性动脉瘤

Infected aneurysm of brachial artery after mitral valve infective endocarditis.

作者信息

Lobo Filho Heraldo Guedis, Carvalho Eduardo Rebouças, Lobo Filho José Glauco, Lobo Patrícia Leal Dantas

机构信息

Hospital São Raimundo.

出版信息

Rev Bras Cir Cardiovasc. 2011 Jan-Mar;26(1):131-4. doi: 10.1590/s0102-76382011000100023.

Abstract

We present a case of brachial artery infected aneurysm in a patient with infective endocarditis caused by Streptococcus bovis. A 49-year-old man presented with fever dyspnea and a pansystolic murmur with irradiation to axilla. The echocardiogram revealed vegetation in native mitral valve. After mitral valve replacement with bioprosthesis, it was observed pulsatile mass of five centimeters in diameter at antecubital fossa of right upper limb. It was made the diagnosis of infected aneurysm of the brachial artery, and the surgery was performed successfully. The aim of this case report is to show a rare complication after infective endocarditis.

摘要

我们报告一例由牛链球菌引起的感染性心内膜炎患者发生肱动脉感染性动脉瘤的病例。一名49岁男性,出现发热、呼吸困难及全收缩期杂音并向腋窝传导。超声心动图显示二尖瓣有赘生物。在二尖瓣置换生物瓣后,发现右上肢肘前窝有一直径5厘米的搏动性肿块。诊断为肱动脉感染性动脉瘤,并成功实施了手术。本病例报告的目的是展示感染性心内膜炎后的一种罕见并发症。

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