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主动脉瓣感染性心内膜炎伴二尖瓣前叶动脉瘤

Infective Endocarditis of the Aortic Valve with Anterior Mitral Valve Leaflet Aneurysm.

作者信息

Tomsic Anton, Li Wilson W L, van Paridon Marieke, Bindraban Navin R, de Mol Bas A J M

出版信息

Tex Heart Inst J. 2016 Aug 1;43(4):345-9. doi: 10.14503/THIJ-15-5322. eCollection 2016 Aug.

DOI:10.14503/THIJ-15-5322
PMID:27547149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4979397/
Abstract

Mitral valve leaflet aneurysm is a rare and potentially devastating complication of aortic valve endocarditis. We report the case of a 48-year-old man who had endocarditis of the native aortic valve and a concomitant aneurysm of the anterior mitral valve leaflet. Severe mitral regurgitation occurred after the aneurysm perforated. The patient showed no signs of heart failure and completed a 6-week regimen of antibiotic therapy before undergoing successful aortic and mitral valve replacement. In addition to the patient's case, we review the relevant medical literature.

摘要

二尖瓣叶动脉瘤是主动脉瓣心内膜炎一种罕见且可能具有毁灭性的并发症。我们报告一例48岁男性患者,其患有原发性主动脉瓣心内膜炎并伴有二尖瓣前叶动脉瘤。动脉瘤穿孔后出现严重二尖瓣反流。该患者无心力衰竭迹象,在成功接受主动脉瓣和二尖瓣置换术之前,完成了为期6周的抗生素治疗方案。除了该患者的病例外,我们还回顾了相关医学文献。

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本文引用的文献

1
Predicting the occurrence of embolic events: an analysis of 1456 episodes of infective endocarditis from the Italian Study on Endocarditis (SEI).预测栓塞事件的发生:来自意大利心内膜炎研究(SEI)的 1456 例感染性心内膜炎病例分析。
BMC Infect Dis. 2014 Apr 29;14:230. doi: 10.1186/1471-2334-14-230.
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Ruptured anterior mitral leaflet aneurysm in aortic valve infective endocarditis--evaluation by three-dimensional echocardiography.主动脉瓣感染性心内膜炎中二尖瓣前叶动脉瘤破裂——三维超声心动图评估
Echocardiography. 2014 Mar;31(3):E72-6. doi: 10.1111/echo.12449.
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An unusual cause of severe mitral regurgitation in a patient with aortic valve endocarditis.一名患有主动脉瓣心内膜炎的患者出现严重二尖瓣反流的罕见病因。
J Cardiothorac Vasc Anesth. 2014 Oct;28(5):1432-4. doi: 10.1053/j.jvca.2013.10.021. Epub 2014 Jan 23.
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Clinical and echocardiographic evaluation of mitral valve aneurysms: a retrospective, single center study.临床和超声心动图评估二尖瓣动脉瘤:一项回顾性、单中心研究。
Int J Cardiovasc Imaging. 2014 Mar;30(3):535-41. doi: 10.1007/s10554-014-0365-4. Epub 2014 Jan 14.
5
Impressive echocardiographic images of a rare pathology: Aneurysm of the mitral valve - Report of two cases and review of the literature.二尖瓣动脉瘤这一罕见病理状况的令人印象深刻的超声心动图图像:两例报告及文献综述。
J Saudi Heart Assoc. 2013 Jan;25(1):47-51. doi: 10.1016/j.jsha.2012.11.002. Epub 2012 Nov 24.
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The clinical picture: fever, dyspnea, and a new heart murmur.临床表现:发热、呼吸困难及新发心脏杂音。
Cleve Clin J Med. 2013 Sep;80(9):559-61. doi: 10.3949/ccjm.80a.12049.
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Posterior mitral leaflet aneurysm - a rare cause of mitral regurgitation.二尖瓣后叶动脉瘤——二尖瓣反流的罕见病因。
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Early surgery versus conventional treatment for infective endocarditis.早期手术与常规治疗感染性心内膜炎的比较。
N Engl J Med. 2012 Jun 28;366(26):2466-73. doi: 10.1056/NEJMoa1112843.
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Echo rounds: aneurysm of the anterior mitral valve.超声心动图检查结果:二尖瓣前叶动脉瘤。
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Bicuspid aortic valve endocarditis complicated by mitral valve aneurysm.二叶式主动脉瓣心内膜炎并发二尖瓣瘤
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