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经皮穿刺抽吸主动脉瓣心内膜炎患者的主动脉瓣赘生物。

Percutaneous aspiration of aortic valve vegetation in a patient with aortic valve endocarditis.

作者信息

Cioci Anthony Louis, Hutton Anneka, Yi Slee, Khoriaty George, Gottlieb Gary, Cartledge Richard, Rubenstein Mark

机构信息

Florida Atlantic University College of Medicine Boca Raton Florida USA.

Department of Internal Medicine Florida Atlantic University College of Medicine Boca Raton Florida USA.

出版信息

Clin Case Rep. 2024 Mar 29;12(4):e8724. doi: 10.1002/ccr3.8724. eCollection 2024 Apr.

DOI:10.1002/ccr3.8724
PMID:38560283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10980779/
Abstract

KEY CLINICAL MESSAGE

Percutaneous aspiration for debulking of vegetations in right-sided infective endocarditis has been well-described, however, this technique can be employed successfully for left-sided vegetations in select high-risk patients.

ABSTRACT

We report a case of percutaneous aspiration of an aortic valve vegetation in a patient with prosthetic valve endocarditis. This novel approach was selected after patient declined surgical intervention for an enlarging vegetation despite antibiotic therapy. The procedure was successful, resulting in the complete removal of solid vegetation without complications.

摘要

关键临床信息

经皮穿刺抽吸以清除右侧感染性心内膜炎赘生物的方法已有详尽描述，然而，在特定高危患者中，该技术也可成功用于左侧赘生物。

摘要

我们报告了1例人工瓣膜心内膜炎患者经皮穿刺抽吸主动脉瓣赘生物的病例。尽管使用了抗生素治疗，但由于赘生物增大，患者拒绝手术干预，故而选择了这种新方法。该手术成功，赘生物被完全清除，且未发生并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/b110dd32d953/CCR3-12-e8724-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/b7d9d0bd2265/CCR3-12-e8724-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/a7b1578d849e/CCR3-12-e8724-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/7a737886aa9c/CCR3-12-e8724-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/b110dd32d953/CCR3-12-e8724-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/b7d9d0bd2265/CCR3-12-e8724-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/a7b1578d849e/CCR3-12-e8724-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/7a737886aa9c/CCR3-12-e8724-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7182/10980779/b110dd32d953/CCR3-12-e8724-g002.jpg

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本文引用的文献

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Infective endocarditis: innovations in the management of an old disease.感染性心内膜炎：一种古老疾病的管理新方法。
Nat Rev Cardiol. 2019 Oct;16(10):623-635. doi: 10.1038/s41569-019-0215-0.
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AngioVac for extraction of venous thromboses and endocardial vegetations: A meta-analysis.用于提取静脉血栓和心内膜赘生物的AngioVac：一项荟萃分析。
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