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瘤栓性心内膜炎的表现和处理:一组病例报告。

Presentation and management of marantic endocarditis: A case series.

机构信息

Department of Cardiothoracic Surgery, NYU Langone Health, New York, New York, USA.

出版信息

Echocardiography. 2024 Aug;41(8):e15891. doi: 10.1111/echo.15891.

DOI:10.1111/echo.15891
PMID:39132834
Abstract

Marantic endocarditis is defined as a sterile endocarditis that is rarely encountered in clinical practice. This case series illustrates five cases of marantic endocarditis. All cases were diagnosed on trans thoracic echocardiography and verified on transesophageal echocardiography. The first three cases occur in the setting of antiphospholipid syndrome; the last two occur in the setting of advanced malignancy. Two cases were treated successfully with anticoagulation, while two others required valvular surgery. One case resulted in mortality. The treatment course of these five patients mirrors certain patterns described in the literature.

摘要

心内膜炎定义为一种临床上罕见的无菌性心内膜炎。本病例系列报告了 5 例心内膜炎。所有病例均通过经胸超声心动图诊断,并经经食管超声心动图证实。前 3 例发生在抗磷脂综合征背景下;后 2 例发生在晚期恶性肿瘤背景下。2 例成功接受抗凝治疗,而另外 2 例则需要瓣膜手术。1 例患者死亡。这 5 例患者的治疗过程与文献中描述的某些模式相吻合。

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