Siebers Christian, Schramm René, Friedmann Anton, Weig Thomas
Clinic of Anaesthesiology, University Hospital of Munich, Campus Großhadern, Munich, Germany.
Clinic of Cardiac Surgery, University Hospital of Munich, Campus Großhadern, Munich, Germany.
Int J Surg Case Rep. 2014;5(2):108-10. doi: 10.1016/j.ijscr.2013.12.015. Epub 2014 Jan 8.
Heart failure is the most common cause of death due to infective endocarditis. We report a case of a patient presenting with severe shock due to an infection-associated left-to-right cardiac shunt.
A 62-year-old man, who underwent aortic valve replacement five years previously, was admitted to ICU due to acute hemodynamic deterioration. A few days earlier, he had a septic episode with blood cultures positive for Staphylococcus aureus and clinical features of infective endocarditis. In ICU, transthoracic echocardiography revealed shunting from the aortic root to the right atrium resulting in severe cardiogenic shock.
This case report describes a near fatal complication of infective endocarditis, detected by routine use of transthoracic echocardiography.
Our case outlines the relevance of early cardiac surgery strategies in patients with infective endocarditis and we briefly discuss the current literature.
心力衰竭是感染性心内膜炎最常见的死亡原因。我们报告一例因感染相关的左向右心脏分流导致严重休克的患者。
一名62岁男性，5年前接受了主动脉瓣置换术，因急性血流动力学恶化入住重症监护病房。几天前，他发生了一次脓毒症发作，血培养显示金黄色葡萄球菌阳性，并有感染性心内膜炎的临床特征。在重症监护病房，经胸超声心动图显示从主动脉根部向右心房分流，导致严重的心源性休克。
本病例报告描述了通过常规经胸超声心动图检测到的感染性心内膜炎的一种近乎致命的并发症。
我们的病例概述了感染性心内膜炎患者早期心脏手术策略的相关性，并且我们简要讨论了当前的文献。
