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Complex decision-making in stroke: preoperative mechanical thrombectomy of septic embolus for emergency cardiac valve surgery.卒中的复杂决策：急诊心脏瓣膜手术中感染性栓子的术前机械取栓术
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Surgery for infective endocarditis: who and when?感染性心内膜炎的手术治疗：对象与时机？
Circulation. 2010 Mar 9;121(9):1141-52. doi: 10.1161/CIRCULATIONAHA.108.773598.
2
Role of adjunctive thrombectomy and embolic protection devices in acute myocardial infarction: a comprehensive meta-analysis of randomized trials.辅助血栓切除术和栓子保护装置在急性心肌梗死中的作用：随机试验的综合荟萃分析
Eur Heart J. 2008 Dec;29(24):2989-3001. doi: 10.1093/eurheartj/ehn421. Epub 2008 Sep 23.
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[Acute coronary syndrome in infective endocarditis].[感染性心内膜炎中的急性冠状动脉综合征]
Rev Esp Cardiol. 2007 Jan;60(1):24-31.
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Coronary embolism complicating aortic valve endocarditis: treatment with successful coronary angioplasty.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
Int J Cardiol. 2007 Jul 31;119(3):377-9. doi: 10.1016/j.ijcard.2006.07.180. Epub 2006 Oct 27.
5
[Acute myocardial infarction with left ventricular free wall rupture and papillary muscle rupture caused by infectious endocarditis].感染性心内膜炎所致急性心肌梗死伴左心室游离壁破裂及乳头肌破裂
Kyobu Geka. 2006 Mar;59(3):193-6.
6
Management of infective endocarditis.感染性心内膜炎的管理
Heart. 2006 Jan;92(1):124-30. doi: 10.1136/hrt.2005.063719.
7
Managing embolic myocardial infarction in infective endocarditis: current options.感染性心内膜炎中栓塞性心肌梗死的管理：当前的选择
J Infect. 2005 Oct;51(3):e101-5. doi: 10.1016/j.jinf.2004.10.006. Epub 2004 Nov 11.
8
Surgical management of mycotic aneurysm of the left anterior descending artery.左前降支霉菌性动脉瘤的外科治疗
Can J Cardiol. 2005 Jun;21(8):701-3.
9
Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America.感染性心内膜炎：诊断、抗菌治疗及并发症管理：美国心脏协会风湿热、心内膜炎及川崎病委员会、青年心血管疾病理事会以及临床心脏病学、中风、心血管外科和麻醉理事会为医疗专业人员发布的声明：获美国传染病学会认可
Circulation. 2005 Jun 14;111(23):e394-434. doi: 10.1161/CIRCULATIONAHA.105.165564.
10
Acute myocardial infarction caused by a septic coronary embolism diagnosed and treated with a thrombectomy catheter.经血栓切除术导管诊断并治疗的脓毒性冠状动脉栓塞所致急性心肌梗死
Heart. 2005 May;91(5):e34. doi: 10.1136/hrt.2004.055046.

使用血栓切除术导管成功治疗感染性心内膜炎中由脓毒性栓子引起的ST段抬高型心肌梗死。

Successful treatment of ST elevation myocardial infarction caused by septic embolus with the use of a thrombectomy catheter in infective endocarditis.

作者信息

Whitaker John, Saha Mrinal, Fulmali Rahul, Perera Divaka

机构信息

Department of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, UK.

出版信息

BMJ Case Rep. 2011 Aug 17;2011:bcr0320114002. doi: 10.1136/bcr.03.2011.4002.

DOI:10.1136/bcr.03.2011.4002
PMID:22688929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3171051/
Abstract

A 71-year-old patient suffered a transmural (ST elevation) myocardial infarction (MI) as a result of a septic embolus from an infected tissue aortic valve replacement. Following failed fibrinolysis, his MI was successfully treated with thrombectomy using an export catheter. He suffered bleeding complications following the administration of tenectaplase and required aortic valve and root replacement due to ongoing systemic embolisation.

摘要

一名71岁患者因感染性组织主动脉瓣置换术后的脓毒性栓子导致透壁性（ST段抬高型）心肌梗死（MI）。在溶栓治疗失败后，他的心肌梗死通过使用Export导管进行血栓切除术成功得到治疗。在给予替奈普酶后，他出现了出血并发症，并且由于持续的全身栓塞而需要进行主动脉瓣和主动脉根部置换。