Hodges Kevin E, Hussain Syed T, Stewart William J, Pettersson Gosta B
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio.
J Card Surg. 2017 Jan;32(1):9-13. doi: 10.1111/jocs.12872. Epub 2016 Nov 27.
Embolism to the central nervous system is a frequent and important complication of infective endocarditis. While early surgery improves outcomes in many groups of patients with infective endocarditis, ischemic stroke secondary to septic embolism carries the risk of hemorrhagic transformation and neurological deterioration with heparinization and cardiopulmonary bypass. We review the literature regarding the surgical management of infective endocarditis in patients with cerebral emboli.
中枢神经系统栓塞是感染性心内膜炎常见且重要的并发症。虽然早期手术可改善许多感染性心内膜炎患者群体的预后，但脓毒性栓塞继发的缺血性卒中存在出血性转化风险以及因肝素化和体外循环导致神经功能恶化的风险。我们回顾了有关脑栓塞患者感染性心内膜炎外科治疗的文献。
