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一例冠状动脉造影术后主动脉瓣非细菌性血栓性心内膜炎。

A case of non-bacterial thrombotic endocarditis on the aortic valve following coronary angiography.

作者信息

Motiduki Nobuhiro, Ushioda Ryohei, Yuzawa Sayaka, Miyatani Kazuki, Isa Hideki, Setogawa Yuki, Ishidou Kohei, Narita Masahiko, Suzuki Fumitaka, Hirofuji Aina, Okubo Ryo, Kunioka Shingo, Tsutsui Masahiro, Ishikawa Natsuya, Hiroyuki Kamiya

机构信息

Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510, Japan.

Department of Diagnostic Pathology, Asahikawa Medical University Hospital, Midorigaoka 1-1-1, Asahikawa 078-8510, Japan.

出版信息

J Surg Case Rep. 2024 Apr 2;2024(4):rjae212. doi: 10.1093/jscr/rjae212. eCollection 2024 Apr.

Abstract

Nonbacterial thrombotic endocarditis (NBTE) on the aortic valve involves fibrin and platelet aggregate formation, potentially leading to embolic events. We present a case of NBTE on the aortic valve following coronary angiography (CAG) in a 54-year-old man with multiple comorbidities. Surgical thrombectomy was performed owing to acute cerebral infarcts. This case highlights the significance of considering that mechanical trauma from catheterization during CAG can trigger thrombus formation.

摘要

主动脉瓣上的非细菌性血栓性心内膜炎(NBTE)涉及纤维蛋白和血小板聚集体形成,可能导致栓塞事件。我们报告一例54岁患有多种合并症的男性在冠状动脉造影(CAG)后发生主动脉瓣NBTE的病例。由于急性脑梗死进行了手术取栓术。该病例突出了考虑CAG期间导管插入术造成的机械性创伤可引发血栓形成的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57dc/10989293/cedd8f3ebb6a/rjae212f1.jpg

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