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心脏包虫囊肿继发霉菌性动脉瘤的诊断与治疗：一名23岁女性多发脑卒的罕见病因

Diagnosis and treatment of mycotic aneurysms secondary to cardiac hydatid cyst: An unusual cause of multiple cerebral strokes in a 23-year-old female.

作者信息

Malih Sara El, Ezzahi Manar, Ismail Oughebbi, Akammar Amal, Bouardi Nizar El, Haloua Meriem, Alami Badreeddine, Boubbou Meryem, Maaroufi Mustapha, Lamrani Moulay Youssef Alaoui

机构信息

Department of Radiology and Interventional Imaging, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Centre Hospitalier Hrazem, BP:1835 Atlas, Fès, Avenue Hassan II, Fes 30050, Morocco.

Department of Cardiovascular Surgery, Ghassani Hospital, Fez, Morocco.

出版信息

Radiol Case Rep. 2023 Jul 7;18(9):3281-3286. doi: 10.1016/j.radcr.2023.06.047. eCollection 2023 Sep.

DOI:10.1016/j.radcr.2023.06.047
PMID:37520388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10375374/
Abstract

Mycotic aneurysms (MA) are a rare but severe complication of systemic infections, carrying a high risk of rupture, hemorrhage, sepsis, and potential multiple organ failure. Intracranial arteries are often affected and present a significant mortality risk due to cerebral bleeding and ischemic strokes. In this paper we describe the case of a 23-year-old female patient who presented with a sudden onset of right hemiparesis, followed by loss of consciousness. Cerebral imaging revealed multiple infarcts in both hemispheres and intracranial hemorrhage secondary to ruptured pseudoaneurysms. On transthoracic echocardiogram, she was found to have a left ventricular cardiac cyst with mobile vegetations potentially responsible for mycotic aneurysms and cerebral strokes. The patient underwent endovascular embolization for the mycotic aneurysms and cardiac surgery for the left ventricular cyst with satisfying clinical outcomes. Postsurgical analysis revealed the cyst to be of hydatid (Echinococcus) origin.

摘要

真菌性动脉瘤（MA）是全身感染罕见但严重的并发症，具有破裂、出血、败血症和潜在多器官功能衰竭的高风险。颅内动脉常受影响，由于脑出血和缺血性中风，存在显著的死亡风险。在本文中，我们描述了一名23岁女性患者的病例，该患者突然出现右半身轻瘫，随后失去意识。脑部影像学检查显示双侧半球多发梗死以及假性动脉瘤破裂继发颅内出血。经胸超声心动图检查发现她有一个左心室心脏囊肿，伴有活动的赘生物，可能是真菌性动脉瘤和脑卒的病因。该患者接受了真菌性动脉瘤的血管内栓塞治疗和左心室囊肿的心脏手术，临床结果令人满意。术后分析显示囊肿起源于包虫（棘球绦虫）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/de868f69cc10/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/6c73ea068285/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/138fbe745cd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/675cf7315754/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/9328eb27a8c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/5896f83d6ab0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/b918e5ce6359/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/51488b7fc425/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/30d9983f579b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/ab13d9c163c5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/2067418292aa/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/25b88e9b846b/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/de868f69cc10/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/6c73ea068285/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/138fbe745cd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/675cf7315754/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/9328eb27a8c6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/5896f83d6ab0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/b918e5ce6359/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/51488b7fc425/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/30d9983f579b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/ab13d9c163c5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/2067418292aa/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/25b88e9b846b/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d265/10375374/de868f69cc10/gr12.jpg

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本文引用的文献

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