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.
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。
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