Mercado-Alamo Adrian, Singh Hemindermeet, Rosman Howard, Mehta Rajendra, Lalonde Thomas, Kaki Amir
Division of Cardiology, Department of Medicine, Ascension St. John, Detroit, Michigan, USA.
Duke Clinical Research Institute, Durham, North Carolina, USA.
JACC Case Rep. 2020 Jul 22;3(5):818-822. doi: 10.1016/j.jaccas.2020.05.035. eCollection 2021 May.
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. ().
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。()