一名静脉吸毒者发生起搏器导线血栓性心内膜炎。
Pacemaker lead thrombo-endocarditis in an intravenous drug abuser.
作者信息
Panduranga Prashanth, Mukhaini Mohammed Khamis
机构信息
Department of Cardiology, Royal Hospital, Muscat, Oman.
出版信息
J Saudi Heart Assoc. 2011 Jul;23(3):155-7. doi: 10.1016/j.jsha.2011.03.003. Epub 2011 Mar 16.
We report a 30-year-old male intravenous drug abuser presenting with persistent pacemaker lead thrombosis with superimposed pacemaker lead endocarditis. He underwent urgent surgery, but expired due to refractory sepsis. This case confirms that patients with pacemakers are at risk of developing pacemaker lead thrombosis. In addition, they are at high risk of developing pacemaker lead endocarditis if additional risk factors for endocarditis are present. We believe this case report is unusual on account of pacemaker lead thrombosis as well as endocarditis occurring in a patient with history of intravenous drug abuse. Whether pacemaker patients with multiple leads need to be on long-term antiplatelet or anticoagulation therapy necessitates further studies.
我们报告了一名30岁的男性静脉注射毒品者，其出现持续性起搏器导线血栓形成并伴有起搏器导线心内膜炎。他接受了紧急手术，但因难治性脓毒症死亡。该病例证实起搏器患者有发生起搏器导线血栓形成的风险。此外，如果存在心内膜炎的其他危险因素，他们发生起搏器导线心内膜炎的风险很高。我们认为该病例报告不同寻常，因为在一名有静脉注射毒品史的患者中同时发生了起搏器导线血栓形成和心内膜炎。有多个导线的起搏器患者是否需要长期抗血小板或抗凝治疗尚需进一步研究。
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