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机械取栓治疗感染性心内膜炎并发脑动脉感染性栓子的效果。

Effectiveness of mechanical embolectomy for septic embolus in the cerebral artery complicated with infective endocarditis.

机构信息

Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.

出版信息

J Korean Med Sci. 2013 Aug;28(8):1244-7. doi: 10.3346/jkms.2013.28.8.1244. Epub 2013 Jul 31.

DOI:10.3346/jkms.2013.28.8.1244
PMID:23960455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3744716/
Abstract

There has been a controversy over data of thrombolytic and endovascular surgical treatment about cerebral infarction secondary to infective endocarditis. We report a woman who received early mechanical embolectomy as a treatment of acute stroke with infective endocarditis. A 35-yr-old woman was hospitalized due to right hemiparesis. Brain image showed cerebral infarction at the middle cerebral artery and echocardiography demonstrated vegetation at the mitral valve. She was successfully treated with embolectomy and parenteral antibiotics without any neurologic sequelae. This report shows that the early retrieve of septic cerebral emboli can be a helpful treatment of acute stroke associated with endocarditis.

摘要

对于感染性心内膜炎继发脑梗死的溶栓和血管内手术治疗的数据一直存在争议。我们报告了一例接受早期机械取栓治疗的感染性心内膜炎合并急性脑卒中的女性患者。一名 35 岁女性因右侧偏瘫住院。脑部影像显示大脑中动脉脑梗死，超声心动图显示二尖瓣赘生物。她成功地接受了取栓术和静脉内抗生素治疗，没有任何神经后遗症。本报告表明，早期清除感染性脑栓子可能有助于治疗合并心内膜炎的急性脑卒中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/c06053df97c5/jkms-28-1244-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/eec22b57a4fc/jkms-28-1244-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/19eb7f56efe5/jkms-28-1244-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/c5bf2dabf368/jkms-28-1244-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/c06053df97c5/jkms-28-1244-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/eec22b57a4fc/jkms-28-1244-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/19eb7f56efe5/jkms-28-1244-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/c5bf2dabf368/jkms-28-1244-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/3744716/c06053df97c5/jkms-28-1244-g004.jpg

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