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计算机断层扫描血管造影对右心室流出道修复术后感染性心内膜炎的诊断价值

Diagnostic Value of Computed Tomography Angiography for Infective Endocarditis After Right Ventricle Outflow Tract Repair.

作者信息

Thaler Christina, Witt Dawn, Casey Susan, Kelle Angela M, Garcia Santiago, Lesser John, Han B Kelly

机构信息

University of Michigan Medical Center, Ann Arbor, Michigan, USA.

Minneapolis Heart Institute and Foundation, Minneapolis, Minnesota, USA.

出版信息

JACC Case Rep. 2023 Aug 30;23:102011. doi: 10.1016/j.jaccas.2023.102011. eCollection 2023 Oct 4.

DOI:10.1016/j.jaccas.2023.102011
PMID:37954952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10635865/
Abstract

Congenital heart disease patients with pulmonary valve replacement or right ventricle-pulmonary artery conduit have increased risk of pulmonary valve endocarditis. We present a 6-patient case series illustrating the diagnostic utility of computed tomography angiography to provide definitive visualization of pulmonary valve vegetation to aid in the diagnosis of endocarditis. ().

摘要

接受肺动脉瓣置换术或右心室-肺动脉导管植入术的先天性心脏病患者发生肺动脉瓣心内膜炎的风险增加。我们报告了一个6例患者的病例系列，阐述了计算机断层血管造影术在明确显示肺动脉瓣赘生物以辅助心内膜炎诊断方面的诊断效用。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/9c8166937e23/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/72e7dbb1e544/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/c04a9459f63f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/9c8166937e23/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/72e7dbb1e544/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/c04a9459f63f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadf/10635865/9c8166937e23/gr2.jpg

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本文引用的文献

1
Long-term incidence of infective endocarditis among patients with congenital heart disease.先天性心脏病患者感染性心内膜炎的长期发病率。
Am Heart J. 2023 May;259:9-20. doi: 10.1016/j.ahj.2023.01.012. Epub 2023 Jan 19.
2
Diagnostic Potential of Intracardiac Echocardiography in Patients with Suspected Prosthetic Valve Endocarditis.经胸心脏超声在疑似人工瓣膜心内膜炎患者中的诊断价值。
J Am Soc Echocardiogr. 2019 Dec;32(12):1558-1564.e3. doi: 10.1016/j.echo.2019.06.016. Epub 2019 Oct 3.
3
Novel imaging strategies for the detection of prosthetic heart valve obstruction and endocarditis.
用于检测人工心脏瓣膜梗阻和心内膜炎的新型成像策略。
Neth Heart J. 2016 Feb;24(2):96-107. doi: 10.1007/s12471-015-0796-0.
4
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).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.
5
Incidence and predictors of Melody® valve endocarditis: a prospective study.美敦力Melody®瓣膜心内膜炎的发病率及预测因素：一项前瞻性研究。
Arch Cardiovasc Dis. 2015 Feb;108(2):97-106. doi: 10.1016/j.acvd.2014.09.003. Epub 2014 Oct 30.