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人工主动脉瓣心内膜炎蔓延至瓣周间隙

Prosthetic Aortic Valve Endocarditis Creeping Into the Paravalvular Space.

作者信息

Abdel Jawad Mohammad, Abu Kar Abdullah, Fanari Zaher, Elkharbotly Ali

机构信息

Internal Medicine, Ascension Via Christi St. Francis Hospital, Wichita, USA.

Hospital Medicine, University of California San Francisco, San Francisco, USA.

出版信息

Cureus. 2023 Feb 22;15(2):e35315. doi: 10.7759/cureus.35315. eCollection 2023 Feb.

DOI:10.7759/cureus.35315
PMID:36968888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10038215/
Abstract

Prosthetic valve endocarditis is a devastating infection with a challenging diagnosis and management. Despite advances in its diagnostic modalities, medical, and surgical interventions, prosthetic valve endocarditis still carries high morbidity and mortality rates. Here, we report a case of prosthetic aortic valve endocarditis that progressed to involve the paravalvular space and the importance of multimodality cardiac imaging in the early detection of paravalvular complications.

摘要

人工瓣膜心内膜炎是一种具有挑战性的诊断和管理的毁灭性感染。尽管其诊断方式、医学和外科干预取得了进展,但人工瓣膜心内膜炎的发病率和死亡率仍然很高。在此,我们报告一例人工主动脉瓣心内膜炎进展至累及瓣周间隙的病例,以及多模态心脏成像在早期发现瓣周并发症中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d56/10038215/e04029517893/cureus-0015-00000035315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d56/10038215/e04029517893/cureus-0015-00000035315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d56/10038215/e04029517893/cureus-0015-00000035315-i01.jpg

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1
Prosthetic Aortic Valve Endocarditis Creeping Into the Paravalvular Space.人工主动脉瓣心内膜炎蔓延至瓣周间隙
Cureus. 2023 Feb 22;15(2):e35315. doi: 10.7759/cureus.35315. eCollection 2023 Feb.
2
Comparison of outcomes in patients with active infective endocarditis and a paravalvular abscess on a prosthetic valve versus a native valve.人工瓣膜与天然瓣膜伴活动性感染性心内膜炎及瓣周脓肿患者的结局比较。
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Z Kardiol. 1998 Apr;87(4):276-82. doi: 10.1007/s003920050180.
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The role of cardiac computed tomography in the diagnosis of prosthetic valve endocarditis - A comparison with transthoracic and transesophageal echocardiography and intra-operative findings.心脏计算机断层扫描在人工瓣膜心内膜炎诊断中的作用——与经胸和经食管超声心动图及术中发现的比较。
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本文引用的文献

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Root abscess in the setting of infectious endocarditis: Short- and long-term outcomes.感染性心内膜炎患者的根脓肿:短期和长期结局。
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成人感染性心内膜炎:诊断、抗菌治疗和并发症处理:美国心脏协会医疗保健专业人员科学声明。
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Are novel non-invasive imaging techniques needed in patients with suspected prosthetic heart valve endocarditis? A systematic review and meta-analysis.疑似人工心脏瓣膜心内膜炎患者是否需要新型非侵入性成像技术?一项系统评价和荟萃分析。
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Comparison of transthoracic and transesophageal echocardiography for detection of abnormalities of prosthetic and bioprosthetic valves in the mitral and aortic positions.经胸超声心动图与经食管超声心动图在检测二尖瓣和主动脉瓣位人工瓣膜及生物瓣膜异常方面的比较。
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New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service.感染性心内膜炎诊断的新标准:特定超声心动图检查结果的应用。杜克心内膜炎诊疗中心
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Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography.经食管超声心动图对心内膜炎相关脓肿诊断的改善。
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