孤立性肺动脉瓣心内膜炎：一例病例报告及文献综述。
Isolated pulmonary valve endocarditis: A case report and review of literature.
作者信息
Ranjith M P, Rajesh K F, Rajesh G, Haridasan V, Bastian Cicy, Sajeev C G, Krishnan M N
机构信息
Department of Cardiology, Government Medical College, Kozhikode, Kerala 673008, India.
出版信息
J Cardiol Cases. 2013 Sep 28;8(5):161-163. doi: 10.1016/j.jccase.2013.07.007. eCollection 2013 Nov.
Abstract
Isolated pulmonic valve endocarditis is an uncommon clinical entity and is usually associated with intravenous drug abuse. We describe a case of isolated pulmonary valve endocarditis in a young woman with no apparent precipitating factors other than a history of recent normal delivery. During the clinical course she suffered a pulmonary embolism which could be managed conservatively and she was discharged after a 4-week course of antibiotic therapy. The literature on the isolated pulmonary valve endocarditis is reviewed. < In right-sided endocarditis, the option for surgical management should not be based solely on the vegetation size. Large vegetation in the right-sided valves with multiple pulmonary embolisms can be managed by medical therapy if the patient is hemodynamically stable.>.
摘要
孤立性肺动脉瓣心内膜炎是一种不常见的临床病症，通常与静脉药物滥用有关。我们描述了一例年轻女性的孤立性肺动脉瓣心内膜炎病例，除近期顺产史外无明显诱发因素。在临床病程中，她发生了肺栓塞，经保守治疗后好转，并在接受了4周的抗生素治疗后出院。本文对孤立性肺动脉瓣心内膜炎的相关文献进行了综述。<在右侧心内膜炎中，手术治疗的选择不应仅基于赘生物大小。如果患者血流动力学稳定，右侧瓣膜有大赘生物并伴有多次肺栓塞，可采用药物治疗。>
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