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主动脉缩窄合并霉菌性假性动脉瘤和二叶式主动脉瓣心内膜炎的罕见病例。

Unusual case of aortic coarctation complicated by mycotic pseudoaneurysm and bicuspid aortic valve endocarditis.

作者信息

Samiei Niloufar, Alizadeh Azin, Hashemi Arash, Mirmesdagh Yalda, Mozaffari Kambiz, Hosseini Saeid

机构信息

Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

出版信息

Res Cardiovasc Med. 2014 Feb;3(1):e13838. doi: 10.5812/cardiovascmed.13838. Epub 2014 Feb 24.

DOI:10.5812/cardiovascmed.13838
PMID:25478528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4253745/
Abstract

Coarctation complicated with mycotic pseudo-aneurysm is very rare. We are reporting a case of a 26-year-old man suffered from this pathology. As the incidence of mycotic pseudo-aneurysm is very rare in patients with aortic coarctation, the choice of this pathology for a patient presenting with unexplained fever is the only way to reduce the mortality risk.

摘要

主动脉缩窄合并感染性假性动脉瘤非常罕见。我们报告一例26岁男性患有这种病症。由于感染性假性动脉瘤在主动脉缩窄患者中的发病率非常低，对于出现不明原因发热的患者，选择这种病症作为诊断是降低死亡风险的唯一方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed53/4253745/8a4ed3872578/cardiovascmed-03-13838-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed53/4253745/af575163be0a/cardiovascmed-03-13838-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed53/4253745/8a4ed3872578/cardiovascmed-03-13838-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed53/4253745/af575163be0a/cardiovascmed-03-13838-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed53/4253745/8a4ed3872578/cardiovascmed-03-13838-g002.jpg

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本文引用的文献

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Coarctation of the aorta; a review of 104 autopsied cases of the adult type, 2 years of age or older.主动脉缩窄；对104例2岁及以上成人型尸检病例的回顾。
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Aortic coarctation endarteritis in an adult: case report with cardiovascular magnetic resonance imaging findings and review of the literature.成人主动脉缩窄性动脉内膜炎：病例报告及心血管磁共振成像结果并文献复习
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使用主动脉同种异体移植材料治疗胸主动脉感染性动脉瘤。
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Circulation. 1989 Oct;80(4):840-5. doi: 10.1161/01.cir.80.4.840.
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Management of pseudoaneurysm following patch grafting for coarctation of the aorta.主动脉缩窄补片移植术后假性动脉瘤的处理
J Thorac Cardiovasc Surg. 1977 Oct;74(4):636-9.