颅内真菌性动脉瘤与左心室辅助装置感染相关。
Intracranial mycotic aneurysm associated with left ventricular assist device infection.
机构信息
Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington.
Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington.
出版信息
Ann Thorac Surg. 2014 Sep;98(3):1088-9. doi: 10.1016/j.athoracsur.2013.10.094.
Abstract
Infection is a frequent complication of left ventricular assist device (LVAD) use in patients with severe heart failure. The development of bacteremia with "LVAD endocarditis" is a serious infection that has rarely been associated with mycotic aneurysm formation. We describe the first case of an LVAD-associated intracranial mycotic aneurysm. We suggest that this is an underappreciated condition that merits more aggressive evaluation and treatment in patients with chronic LVAD-associated infections.
摘要
感染是严重心力衰竭患者使用左心室辅助装置 (LVAD) 的常见并发症。细菌性败血症伴“LVAD 心内膜炎”是一种严重感染，很少与真菌性动脉瘤形成有关。我们描述了首例与 LVAD 相关的颅内真菌性动脉瘤。我们建议，这是一种被低估的情况，在慢性 LVAD 相关感染的患者中，应更积极地评估和治疗。
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