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Chiari网与主动脉瓣心内膜炎并发肺栓塞和系统性栓塞

Chiari Network and Aortic Valve Endocarditis with Concurrent Pulmonary and Systemic Embolization.

作者信息

Rochlani Yogita, Klair Jagpal, Vallurupalli Srikanth, Kenchaiah Satish

机构信息

Division of Cardiovascular Medicine, Department of Internal Medicine, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

出版信息

CASE (Phila). 2017 Feb;1(1):37-40. doi: 10.1016/j.case.2017.01.007. Epub 2017 Mar 2.

DOI:10.1016/j.case.2017.01.007
PMID:28959797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5611810/
Abstract

• Janeway lesions and Osler's nodes were clinical clues for the diagnosis of endocarditis. • The Chiari network, a benign right atrial structure, served as a nidus of infection. • Chiari network endocarditis occurred without tricuspid valve involvement. • Bilateral endocarditis was associated with both pulmonary and systemic emboli. • Large Chiari network vegetation resolved with antibiotic therapy alone (no surgery).

摘要

• 詹韦氏斑和奥斯勒氏结节是诊断心内膜炎的临床线索。

• 希阿里网是一种良性右心房结构，可作为感染病灶。

• 希阿里网心内膜炎发生时不累及三尖瓣。

• 双侧心内膜炎与肺栓塞和系统性栓塞均有关。

• 大型希阿里网赘生物仅通过抗生素治疗即可消退（无需手术）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/c969e080f028/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/e425f7ada081/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/379184b2148b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/29f43f84b235/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/c969e080f028/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/e425f7ada081/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/379184b2148b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/29f43f84b235/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550a/6034487/c969e080f028/gr3.jpg

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引用本文的文献

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本文引用的文献

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Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association.成人感染性心内膜炎：诊断、抗菌治疗和并发症处理：美国心脏协会医疗保健专业人员科学声明。
Circulation. 2015 Oct 13;132(15):1435-86. doi: 10.1161/CIR.0000000000000296. Epub 2015 Sep 15.
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2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).2015年欧洲心脏病学会（ESC）感染性心内膜炎管理指南：欧洲心脏病学会（ESC）感染性心内膜炎管理工作组。认可机构：欧洲心胸外科学会（EACTS）、欧洲核医学协会（EANM）。
Eur Heart J. 2015 Nov 21;36(44):3075-3128. doi: 10.1093/eurheartj/ehv319. Epub 2015 Aug 29.
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Prognostic value of skin manifestations of infective endocarditis.感染性心内膜炎皮肤表现的预后价值。
JAMA Dermatol. 2014 May;150(5):494-500. doi: 10.1001/jamadermatol.2013.8727.
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Widespread systemic embolization with isolated tricuspid valve endocarditis.广泛系统性栓塞伴孤立性三尖瓣心内膜炎。
Heart Lung. 2012 Jul-Aug;41(4):387-9. doi: 10.1016/j.hrtlng.2011.09.003. Epub 2011 Oct 8.
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An unusual case of infective endocarditis: extension of a tricuspid valve vegetation into the left atrium through a patent foramen ovale.一例罕见的感染性心内膜炎病例：三尖瓣赘生物经卵圆孔未闭延伸至左心房。
Can J Cardiol. 2009 Jul;25(7):429-31. doi: 10.1016/s0828-282x(09)70515-x.
6
Chiari network endocarditis: not just an innocent bystander.Chiari网心内膜炎：并非只是无辜旁观者。
Echocardiography. 2008 Jul;25(6):642-5. doi: 10.1111/j.1540-8175.2008.00651.x. Epub 2008 Mar 27.
7
Infectious endocarditis of a Chiari network.奇亚里网的感染性心内膜炎。
Ann Thorac Surg. 2003 Oct;76(4):1303-5. doi: 10.1016/s0003-4975(03)00522-8.
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The febrile parenteral drug user: a prospective study in 121 patients.发热性肠外药物使用者：121例患者的前瞻性研究。
Am J Med. 1993 Mar;94(3):274-80. doi: 10.1016/0002-9343(93)90059-x.
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Chiari's network: normal anatomic variant or risk factor for arterial embolic events?Chiari 网：正常解剖变异还是动脉栓塞事件的危险因素？
J Am Coll Cardiol. 1995 Jul;26(1):203-10. doi: 10.1016/0735-1097(95)00144-o.
10
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Arch Intern Med. 1995;155(15):1641-8.