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儿童人工瓣膜感染性心内膜炎诊断与管理中的多模态心血管成像：两例报告及文献简要综述

Multimodality cardiovascular imaging in the diagnosis and management of prosthetic valve infective endocarditis in children report of two cases and brief review of the literature.

作者信息

Chau Ariya, Renella Pierangelo, Arrieta Antonio

机构信息

UCI/CHOC Pediatric Residency Program, Orange, CA, USA.

Division of Cardiology, CHOC Children's Hospital, Orange, CA, USA.

出版信息

Cardiol Young. 2019 Dec;29(12):1526-1529. doi: 10.1017/S1047951119002233. Epub 2019 Oct 8.

DOI:10.1017/S1047951119002233
PMID:31590699
Abstract

Diagnosing prosthetic valve infective endocarditis in children is challenging. Transthoracic and transesophageal echocardiography can yield false-negative results. Data are lacking in paediatric multimodality imaging in prosthetic valve infective endocarditis. We present two children with repaired CHD where initial echocardiogram was non-diagnostic, while CT angiogram and 18F-fluorodeoxyglucose positron emission tomography in combination with CT angiography, respectively, confirmed the diagnosis of endocarditis affecting clinical management.

摘要

诊断儿童人工瓣膜感染性心内膜炎具有挑战性。经胸和经食管超声心动图可能会产生假阴性结果。目前缺乏关于人工瓣膜感染性心内膜炎的儿科多模态成像数据。我们报告了两名患有先天性心脏病修复术后的儿童，其最初的超声心动图检查未能确诊，而CT血管造影以及18F-氟脱氧葡萄糖正电子发射断层扫描与CT血管造影相结合，分别确诊了影响临床治疗的心内膜炎。

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引用本文的文献

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Infective Endocarditis among Pediatric Patients with Prosthetic Valves and Cardiac Devices: A Review and Update of Recent Emerging Diagnostic and Management Strategies.人工瓣膜和心脏装置患儿的感染性心内膜炎：近期新兴诊断和管理策略的综述与更新
J Clin Med. 2023 Jul 27;12(15):4941. doi: 10.3390/jcm12154941.
2
Value of Time-Resolved Cardiac CT in Children and Young Adults with Congenital Heart Disease and Infective Endocarditis.时间分辨心脏 CT 在先天性心脏病和感染性心内膜炎患儿及青年中的应用价值。
Pediatr Cardiol. 2024 Aug;45(6):1267-1274. doi: 10.1007/s00246-022-03069-7. Epub 2022 Dec 19.
3
Pediatric Infective Endocarditis: A Literature Review.
小儿感染性心内膜炎：文献综述
J Clin Med. 2022 Jun 5;11(11):3217. doi: 10.3390/jcm11113217.