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死亡捷径：耐甲氧西林金黄色葡萄球菌感染性心内膜炎背景下的主动脉-左心房瘘

A Shortcut to Death: Aorto-Left Atrial Fistula in the Setting of MRSA Infective Endocarditis.

作者信息

Sadic Edin, Esmail Khadeeja, Percy Robert, Missov Emil, Sattiraju Srinivasan

机构信息

Division of Cardiology, University of Florida Health - Jacksonville, Jacksonville, Florida.

出版信息

CASE (Phila). 2020 Apr 21;4(3):195-198. doi: 10.1016/j.case.2020.03.006. eCollection 2020 Jun.

DOI:10.1016/j.case.2020.03.006
PMID:32577604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7303233/
Abstract

• AAFs convey very high mortality and require prompt diagnosis and management. • Echocardiography, especially TEE, plays a critical role in timely assessment. • Poor prognostic risk factors include shock, paravalvular leakage, and CHF. • Surgery remains the primary option; transcatheter closure options are on the rise.

摘要

• 人工心房分流器（AAF）具有极高的死亡率，需要及时诊断和处理。

• 超声心动图，尤其是经食管超声心动图（TEE），在及时评估中起着关键作用。

• 不良预后危险因素包括休克、瓣周漏和心力衰竭（CHF）。

• 手术仍然是主要选择；经导管封堵治疗方法的应用正在增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/df89b8c733fd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/4c82b119ac1d/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/b9014e50a9ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/df89b8c733fd/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/4c82b119ac1d/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/b9014e50a9ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a445/7303233/df89b8c733fd/gr2.jpg

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本文引用的文献

1
Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA).万古霉素中介金黄色葡萄球菌（VISA）所致主动脉根部脓肿合并主动脉至右心房瘘
Case Rep Cardiol. 2019 May 29;2019:3627063. doi: 10.1155/2019/3627063. eCollection 2019.
2
Aorto-Atrial Fistulas: A Contemporary Review.主动脉-心房瘘：当代综述
Cardiol Rev. 2018 May/Jun;26(3):137-144. doi: 10.1097/CRD.0000000000000182.
3
Clinical Characteristics and Surgical Treatment of Infective Endocarditis With Bicuspid Aortic Valve.
二叶式主动脉瓣感染性心内膜炎的临床特征与外科治疗
Int Heart J. 2017 Apr 6;58(2):220-224. doi: 10.1536/ihj.16-284. Epub 2017 Mar 27.
4
Transcatheter closure of an aortoatrial fistula following a surgical aortic valve replacement.经导管封堵主动脉瓣置换术后的主动脉心房瘘。
J Card Surg. 2017 Mar;32(3):186-189. doi: 10.1111/jocs.13113.
5
Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis.主动脉-左心房瘘：粪肠球菌所致生物人工主动脉瓣心内膜炎的一种罕见并发症。
Case Rep Cardiol. 2015;2015:473246. doi: 10.1155/2015/473246. Epub 2015 Jun 28.
6
Aorto-right atrial fistula: Late complication of tricuspid valve infective endocarditis.主动脉-右心房瘘：三尖瓣感染性心内膜炎的晚期并发症。
World J Cardiol. 2014 Oct 26;6(10):1122-6. doi: 10.4330/wjc.v6.i10.1122.
7
Percutaneous closure of an aorto-atrial fistula after surgery for infective endocarditis.感染性心内膜炎手术后经皮闭合主动脉-心房瘘
JACC Cardiovasc Interv. 2012 Jun;5(6):e15-7. doi: 10.1016/j.jcin.2011.11.015.
8
Bicuspid aortic valve disease.二叶式主动脉瓣病变。
J Am Coll Cardiol. 2010 Jun 22;55(25):2789-800. doi: 10.1016/j.jacc.2009.12.068.
9
Outcomes in adults with bicuspid aortic valves.成人二叶式主动脉瓣的治疗结果。
JAMA. 2008 Sep 17;300(11):1317-25. doi: 10.1001/jama.300.11.1317.
10
Periannular complications in infective endocarditis involving prosthetic aortic valves.感染性心内膜炎累及人工主动脉瓣时的瓣周并发症。
Am J Cardiol. 2006 Nov 1;98(9):1261-8. doi: 10.1016/j.amjcard.2006.05.066. Epub 2006 Sep 18.