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主动脉瓣叶动脉瘤是血培养阴性感染性心内膜炎的结果,呈现出有趣的超声心动图和手术图像。

Aortic valve cusp aneurysm as a result of blood culture-negative infective endocarditis, interesting echocardiographic and surgical images.

机构信息

Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology & Metabolism, Iran University of Medical Sciences, Tehran, Iran.

Department of Cardiovascular Disease, Hazrat-e-Rasool General Hospital, Iran University of Medical sciences, Tehran, Iran.

出版信息

Echocardiography. 2020 Mar;37(3):469-471. doi: 10.1111/echo.14609. Epub 2020 Feb 12.

Abstract

Compared to mitral valve aneurysms, aortic valve (AV) aneurysm is a more rare and serious complication of infective endocarditis (IE). Early surgical intervention and valve replacement are required in order to prevent further complications such as embolization and rupture of aneurysm. We described a case of severe aortic regurgitation (AR) as a result of an aortic valve aneurysm in a patient with history of end-stage renal disease (ESRD) in whom the hemodialysis catheter had not been changed for a year.

摘要

与二尖瓣瘤相比,主动脉瓣(AV)瘤是感染性心内膜炎(IE)更罕见且更严重的并发症。为了防止进一步的并发症如栓塞和动脉瘤破裂,需要早期进行手术干预和瓣膜置换。我们描述了一例终末期肾病(ESRD)病史患者,由于主动脉瓣瘤导致严重主动脉瓣反流(AR),一年未更换血液透析导管。

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