Department of Surgery, Queen's University Victory 3 - Kingston Health Sciences Centre Kingston (ON) - K7L 2V7.
Division of Cardiac Surgery, Queen's University, Kingston, ON, Canada.
Multimed Man Cardiothorac Surg. 2020 Sep 25;2020. doi: 10.1510/mmcts.2020.053.
We present a novel minimally invasive percutaneous approach for the surgical treatment of tricuspid valve infective endocarditis. In this case, the patient presented with a malfunctioning implantable cardiac device, right ventricle implantable cardiac device lead infection, and infective endocarditis of the tricuspid valve. The infective endocarditis vegetations were removed via a percutaneous approach using the AngioVac suction device. The device was modified by the surgeon, who sutured 2 threads to the head of the device in order to allow adjustments to be made to the angle of suction by applying tension on the suture. Real-time visualization of the procedure was achieved via transesophageal echocardiography. This approach, utilizing the AngioVac device, is a feasible and effective treatment strategy for endocarditis vegetation removal in selected patients who would otherwise be unsuitable candidates for open heart surgery.
我们提出了一种新的微创经皮方法，用于治疗三尖瓣感染性心内膜炎的手术治疗。在这种情况下，患者出现了故障的植入式心脏设备、右心室植入式心脏设备导线感染和三尖瓣感染性心内膜炎。使用 AngioVac 抽吸装置经皮去除感染性心内膜炎的赘生物。该设备由外科医生进行了改装，他在设备头部缝合了 2 根线，以便通过对线施加张力来调整抽吸角度。通过经食管超声心动图实现了对手术过程的实时可视化。
这种方法，利用 AngioVac 装置，对于那些否则不适合进行心脏直视手术的患者来说，是一种可行且有效的治疗策略，用于去除心内膜炎赘生物。
