Fredenrich A, Jourdan J, Gibelin P, Vinti H, Taillan B, Bossan S, Baudouy M, Morand P
Service de Cardiologie, Hôpital Pasteur, Nice.
Ann Cardiol Angeiol (Paris). 1990 Nov;39(9):531-3.
The authors report the case of a myocardial abscess in an infectious endocarditis with a double localization, mitral and aortic. The way it is revealed, by severe and recurring ventricular arrhythmias, differs from the conduction disorders usually described. The diagnosis is suspected by non-invasive examinations, echocardiography and nuclear magnetic resonance. It is backed up by angiographic exploration. The intervention confirms the data obtained by cardiac imaging, and enables the ablation of the abscess which is cleaned out, and the cure of the valvular lesions. Taking into account the gravity of this complication, a close clinical, electrocardiographic and echocardiographic surveillance of all infectious endocarditis is necessary.
作者报告了一例感染性心内膜炎合并心肌脓肿的病例，脓肿有二尖瓣和主动脉瓣两个部位。其通过严重且反复出现的室性心律失常得以揭示，这与通常描述的传导障碍不同。通过非侵入性检查、超声心动图和核磁共振怀疑该诊断。血管造影检查予以证实。手术干预证实了心脏成像获得的数据，并能够切除被清除的脓肿，治愈瓣膜病变。鉴于这种并发症的严重性，对所有感染性心内膜炎进行密切的临床、心电图和超声心动图监测是必要的。
