Ribeiro Sílvia, Gaspar António, Assunção António, Torres José Pinheiro, Azevedo Pedro, Basto Luís, Pinho Paulo, Correia Adelino
Serviço de Cardiologia, Hospital de Braga, Braga, Portugal.
Rev Port Cardiol. 2012 Jun;31(6):449-53. doi: 10.1016/j.repc.2011.12.019.
A 50-year-old man with a history of drug addiction was admitted to the cardiology department for aortic valve fungal endocarditis complicated by severe aortic regurgitation, cerebral infarcts and right common iliac artery pseudoaneurysm. While awaiting transfer to the cardiothoracic surgery department, the patient presented acute arterial ischemia of the left leg, and distal left patellofemoral embolectomy was successfully performed. The patient was then transferred to the cardiothoracic center and the aortic valve was replaced by a bioprosthetic valve. After fourteen days he was referred for vascular surgery, where the four-month hospitalization was complicated by left leg amputation. Four months after discharge, the patient was admitted to the emergency department for recurrent fungal endocarditis complicated by multiple renal and splenic infarcts and celiac trunk embolization. He was transferred to the cardiothoracic surgery department, but suffered cardiac arrest before surgical intervention.
一名有药物成瘾史的50岁男性因主动脉瓣真菌性心内膜炎合并严重主动脉瓣反流、脑梗死和右髂总动脉假性动脉瘤入住心内科。在等待转至心胸外科期间，患者出现左腿急性动脉缺血，并成功进行了左髌股动脉远端栓子切除术。随后患者被转至心胸中心，主动脉瓣被生物人工瓣膜置换。十四天后，他被转诊至血管外科，住院四个月期间出现左腿截肢并发症。出院四个月后，患者因复发性真菌性心内膜炎合并多发肾梗死、脾梗死和腹腔干栓塞入住急诊科。他被转至心胸外科，但在手术干预前发生心脏骤停。
