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前外侧乳头肌破裂揭示感染性心内膜炎

Anterolateral Papillary Muscle Rupture Revealing Infective Endocarditis.

作者信息

Charfeddine Salma, Triki Syrine, Gueldiche Majdi, Ellouze Tarek, Bahloul Amine, Triki Faten, Abid Leila

机构信息

Department of Cardiology, Hedi Chaker University Hospital of Sfax, University of Medicine of Sfax, Sfax, Tunisia.

Department of Cardiovascular Surgery, Habib Bourguiba University Hospital of Sfax, University of Medicine of Sfax, Sfax, Tunisia.

出版信息

J Cardiovasc Echogr. 2022 Jan-Mar;32(1):60-62. doi: 10.4103/jcecho.jcecho_57_21. Epub 2022 Apr 20.

DOI:10.4103/jcecho.jcecho_57_21
PMID:35669128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9164910/
Abstract

The rupture of mitral papillary muscles is a very rare complication of infective endocarditis (IE). We report a case of anterolateral papillary muscle rupture resulting in severe mitral regurgitation due to IE in a young man without previous heart disease. The patient underwent urgent mitral valve replacement. The isolated rupture of the mitral papillary muscle complicating IE is rare. Urgent surgery should be performed is such cases.

摘要

二尖瓣乳头肌破裂是感染性心内膜炎（IE）一种非常罕见的并发症。我们报告一例因IE导致前外侧乳头肌破裂，进而引起严重二尖瓣反流的病例，患者为一名既往无心脏病史的年轻男性。该患者接受了紧急二尖瓣置换术。二尖瓣乳头肌孤立性破裂并发IE很罕见。此类病例应进行紧急手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/1a3eb39b8abd/JCE-32-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/b8bb6bf8bcb4/JCE-32-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/3f6954cca4c9/JCE-32-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/1a3eb39b8abd/JCE-32-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/b8bb6bf8bcb4/JCE-32-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/3f6954cca4c9/JCE-32-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/9164910/1a3eb39b8abd/JCE-32-60-g003.jpg

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本文引用的文献

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Anterolateral papillary muscle rupture in Staphylococcus aureus endocarditis due to direct bacterial invasion of papillary muscle.金黄色葡萄球菌心内膜炎中因细菌直接侵袭乳头肌导致前外侧乳头肌破裂。
Echocardiography. 2017 Sep;34(9):1382-1384. doi: 10.1111/echo.13640. Epub 2017 Jul 28.
2
Case report and review of nonischemic spontaneous papillary muscle rupture reports between 2000 and 2015.2000年至2015年间非缺血性自发性乳头肌破裂病例报告及文献综述。
Echocardiography. 2017 May;34(5):786-790. doi: 10.1111/echo.13498. Epub 2017 Mar 14.
3
2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).
ST段抬高型心肌梗死的意外病因及并发症凸显了急诊科床旁超声的重要性与局限性
Cureus. 2023 Mar 4;15(3):e35754. doi: 10.7759/cureus.35754. eCollection 2023 Mar.
2015年欧洲心脏病学会（ESC）感染性心内膜炎管理指南：欧洲心脏病学会（ESC）感染性心内膜炎管理工作组。认可机构：欧洲心胸外科学会（EACTS）、欧洲核医学协会（EANM）。
Eur Heart J. 2015 Nov 21;36(44):3075-3128. doi: 10.1093/eurheartj/ehv319. Epub 2015 Aug 29.
4
Spontaneous papillary muscle rupture with localized endocarditis.自发性乳头肌破裂伴局限性心内膜炎。
Eur Heart J Cardiovasc Imaging. 2015 Jan;16(1):115. doi: 10.1093/ehjci/jeu172. Epub 2014 Sep 3.
5
Endocarditis of the mitral valve posteromedial papillary muscle.
J Card Surg. 2014 Mar;29(2):213-5. doi: 10.1111/jocs.12241. Epub 2013 Oct 24.
6
Anterolateral papillary muscle rupture: an unusual complication of septic coronary embolism.
Eur J Echocardiogr. 2011 Feb;12(2):E10. doi: 10.1093/ejechocard/jeq117. Epub 2010 Sep 28.
7
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8
Papillary muscle rupture after acute myocardial infarction--the importance of transgastric view of TEE.急性心肌梗死后乳头肌破裂——经食管超声心动图经胃视图的重要性
Korean J Intern Med. 2002 Dec;17(4):274-7. doi: 10.3904/kjim.2002.17.4.274.
9
[A case report of infective endocarditis with total rupture of the posterior papillary muscle after aortic valve replacement].[主动脉瓣置换术后感染性心内膜炎合并后乳头肌完全断裂1例报告]
Kyobu Geka. 1998 Dec;51(13):1120-2.
10
[Successful surgical treatment in a case of complete rupture of the posterior papillary muscle of the mitral valve caused by infective endocarditis].[感染性心内膜炎致二尖瓣后乳头肌完全断裂一例的成功外科治疗]
Nihon Kyobu Geka Gakkai Zasshi. 1994 Jul;42(7):1101-4.