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多瓣膜受累感染性心内膜炎的治疗挑战。

Challenge in the management of infective endocarditis with multiple valvular involvement.

机构信息

Hospital das Clínicas, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG.

出版信息

Rev Soc Bras Med Trop. 2012 Mar-Apr;45(2):272-4. doi: 10.1590/s0037-86822012000200028.

DOI:10.1590/s0037-86822012000200028
PMID:22535008
Abstract

We describe the case of a 41-year-old man with congenital heart disease and infective endocarditis (IE), who presented multiple vegetations attached to the pulmonary, mitral, and aortic valves. Three valve replacements were performed, but the patient developed an abscess at the mitral-aortic intervalvular fibrosa and died due to sepsis. We briefly discuss the indications for surgery in IE, emphasizing its role in the treatment of uncontrolled infection.

摘要

我们描述了一例患有先天性心脏病和感染性心内膜炎(IE)的 41 岁男性患者,他的肺部、二尖瓣和主动脉瓣上附着有多个赘生物。进行了三次瓣膜置换手术,但患者在二尖瓣-主动脉瓣间纤维隔处形成脓肿,并因败血症死亡。我们简要讨论了 IE 手术的适应证,强调了其在治疗无法控制的感染中的作用。

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引用本文的文献

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Medicina (Kaunas). 2019 Sep 19;55(9):608. doi: 10.3390/medicina55090608.
2
Triple-Valve Endocarditis in a Diabetic Patient: Case Report and Literature Review.一名糖尿病患者的三尖瓣心内膜炎:病例报告与文献综述
Curr Cardiol Rev. 2018;14(3):217-224. doi: 10.2174/1573403X14666180522124621.
3
Pseudoaneurysm of the mitral-aortic intervalvular fibrosa. A new comprehensive review.二尖瓣-主动脉瓣间纤维性假动脉瘤。一项新的全面综述。
Herz. 2015 Apr;40 Suppl 2:182-9. doi: 10.1007/s00059-014-4185-z. Epub 2014 Dec 4.
4
Right-sided infective endocarditis: recent epidemiologic changes.右侧感染性心内膜炎:近期的流行病学变化
Int J Clin Exp Med. 2014 Jan 15;7(1):199-218. eCollection 2014.
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Reconstruction of aorto-mitral continuity with a handmade aorto-mitral bioprosthetic valve for extensive bivalvular endocarditis.使用手工制作的主动脉二尖瓣生物瓣膜重建主动脉二尖瓣连续性以治疗广泛性双瓣膜心内膜炎。
Interact Cardiovasc Thorac Surg. 2013 Mar;16(3):405-7. doi: 10.1093/icvts/ivs481. Epub 2012 Nov 20.
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Infective endocarditis in intravenous drug abusers: an update.静脉注射毒品滥用者的感染性心内膜炎:最新进展。
Eur J Clin Microbiol Infect Dis. 2012 Nov;31(11):2905-10. doi: 10.1007/s10096-012-1675-x. Epub 2012 Jun 20.