感染性心内膜炎一种罕见且危及生命的并发症：二尖瓣 - 主动脉瓣间纤维性假性动脉瘤
A Rare and Life-Threatening Complication of Infective Endocarditis: Pseudoaneurysm of the Mitral - Aortic Intervalvular Fibrosa.
作者信息
Wang Chi-Wei, Yu Chu-Leng, Pan Hung-Chih, Chan Si-Wa, Wang Kuo-Yang, Lin Wei-Wen
机构信息
Cardiovascular Center, Taichung Veterans General Hospital;
Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan.
出版信息
Acta Cardiol Sin. 2015 Jul;31(4):358-60. doi: 10.6515/acs20140928a.
UNLABELLED
A 59 year-old previously healthy male was admitted to the hospital with fever reportedly several days in duration. His physical examination was unremarkable at first. Pneumonia was initially diagnosed, but acute pulmonary edema with a new grade III to and fro murmur developed 1 week later. Transesophageal echocardiography (TEE) disclosed a pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF). Subsequent consultation with a cardiovascular surgeon resulted in a repaired aorta with otherwise uneventful results. P-MAIVF is a very rare complication of prosthetic aortic valve (AV) infective endocarditis, and even in native AV. Therefore a careful and through physical examination of patients and early TEE examination are essential in this rare complication of infective endocarditis.
KEY WORDS
Echocardiography; Infective endocarditis; Mitral-aortic intervalvular fibrosa; Pseudoaneurysm.
摘要
一名59岁既往健康男性因发热住院，据报道发热持续数天。最初体格检查无异常。最初诊断为肺炎，但1周后出现急性肺水肿，并伴有新出现的3级来回性杂音。经食管超声心动图（TEE）显示二尖瓣-主动脉瓣间纤维组织假性动脉瘤（P-MAIVF）。随后咨询心血管外科医生，进行了主动脉修复，术后恢复顺利。P-MAIVF是人工主动脉瓣（AV）感染性心内膜炎的一种非常罕见的并发症，在天然AV感染性心内膜炎中亦少见。因此，对于感染性心内膜炎的这种罕见并发症，对患者进行仔细全面的体格检查和早期TEE检查至关重要。
关键词
超声心动图；感染性心内膜炎；二尖瓣-主动脉瓣间纤维组织；假性动脉瘤
Zotero 插件