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经导管二尖瓣重建术(MitraClip)后迟发性感染性心内膜炎:一例病例报告及文献综述

Late Infective Endocarditis After Transcatheter Mitral Valve Reconstruction (MitraClip): A Case Report and a Review of the Literature.

作者信息

Chourdakis Emmanouil, Koniari Ioanna, Osman Neriman, Kounis Nicholas, Hahalis George, Werner Nikos

机构信息

39643Krankenhaus der Barmherzigen Brüder, Trier, Germany.

University Hospital of South Manchester, Manchester, UK.

出版信息

Angiology. 2023 Mar;74(3):205-215. doi: 10.1177/00033197221116202. Epub 2022 Aug 6.

Abstract

Percutaneous transcatheter mitral valve reconstruction in edge to edge fashion is a well-established option in inoperable or high peri-operative risk patients with severe, symptomatic mitral valve regurgitation. MitraClip in combination with medical treatment improves survival and reduces hospitalization rates compared with optimal medical therapy alone in well selected patients. Clip-associated endocarditis is a rare complication with only few reported cases in the literature. We present a case of late infective endocarditis post Mitral Clip implantation and also review the literature regarding this new rare condition.

摘要

对于患有严重症状性二尖瓣反流的无法手术或围手术期风险高的患者,采用边对边方式的经皮经导管二尖瓣重建术是一种成熟的选择。与单纯最佳药物治疗相比,在精心挑选的患者中,MitraClip联合药物治疗可提高生存率并降低住院率。夹子相关的心内膜炎是一种罕见的并发症,文献中仅有少数病例报道。我们报告一例二尖瓣夹植入术后晚期感染性心内膜炎病例,并对有关这种新的罕见病症的文献进行综述。

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