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经皮清除大型三尖瓣赘生物后隐匿性重度三尖瓣反流的发现

Unmasking Severe Tricuspid Valve Regurgitation After Percutaneous Debulking of Large Tricuspid Vegetation.

作者信息

Mercado-Alamo Adrian, Singh Hemindermeet, Rosman Howard, Mehta Rajendra, Lalonde Thomas, Kaki Amir

机构信息

Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA.

Duke Clinical Research Institute, Durham, North Carolina, USA.

出版信息

JACC Case Rep. 2020 Jul 22;3(5):818-822. doi: 10.1016/j.jaccas.2020.05.035. eCollection 2021 May.

DOI:10.1016/j.jaccas.2020.05.035
PMID:34317633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8311153/
Abstract

A 27-year-old man admitted with tricuspid valve endocarditis with a large vegetation, persistent bacteremia, and pulmonary and systemic septic embolization was deemed not a suitable surgical candidate. He underwent percutaneous vegetation debulking using the AngioVac system. The patient defervesced post-operatively with clinical improvement but with abruptly worsened tricuspid regurgitation. ().

摘要

一名27岁男性因三尖瓣心内膜炎入院,伴有巨大赘生物、持续性菌血症以及肺和全身脓毒性栓塞,被认为不适合进行手术。他接受了使用AngioVac系统的经皮赘生物减容术。患者术后退热,临床症状改善,但三尖瓣反流突然恶化。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/647c/8311153/3c0dfecd8bdd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/647c/8311153/3c0dfecd8bdd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/647c/8311153/3c0dfecd8bdd/gr4.jpg

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The AngioVac system as a bail-out option in infective valve endocarditis.血管内真空辅助系统作为感染性心内膜炎的一种补救选择。
Ann Cardiothorac Surg. 2019 Nov;8(6):675-677. doi: 10.21037/acs.2019.11.04.
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AngioVac System Used for Vegetation Debulking in a Patient with Tricuspid Valve Endocarditis: A Case Report and Review of the Literature.AngioVac系统用于三尖瓣心内膜炎患者的赘生物减容:一例病例报告及文献综述
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Severe Tricuspid Valve Endocarditis: A Tale of 2 Circuits.重症三尖瓣心内膜炎:两个循环的故事
JACC Case Rep. 2021 Sep 1;3(11):1343-1349. doi: 10.1016/j.jaccas.2021.06.023.
一种使用抽吸过滤和静脉-静脉旁路经皮清除大型三尖瓣赘生物的新方法:单中心经验。
Catheter Cardiovasc Interv. 2017 Nov 15;90(6):1009-1015. doi: 10.1002/ccd.27097. Epub 2017 May 4.
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