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孤立性肺动脉瓣心内膜炎。

Isolated pulmonary valve endocarditis.

作者信息

Valsky Sonja, Mutschlechner David, Wiedemann Dominik, Gremmel Thomas

机构信息

Department of Internal Medicine I, Cardiology and Intensive Care Medicine, Landesklinikum Mistelbach-Gänserndorf, Liechtensteinstraße 67, 2130, Mistelbach, Austria.

Karl Landsteiner Society, Institute of Cardiovascular Pharmacotherapy and Interventional Cardiology, St. Pölten, Austria.

出版信息

Wien Klin Wochenschr. 2024 Dec;136(23-24):700-702. doi: 10.1007/s00508-024-02416-3. Epub 2024 Aug 23.

DOI:10.1007/s00508-024-02416-3
PMID:39179907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11631985/
Abstract

Isolated pulmonary valve endocarditis (IPE) is a rare form of infectious endocarditis. This article reports the case of a 49-year-old patient with IPE who was initially admitted with suspected cholecystitis. After vegetations were detected by transthoracic (TTE) and transesophageal echocardiography (TEE), antibiotic therapy in accordance with the antibiogram was primarily attempted; however, due to persistently elevated infection parameters and structural valve damage a pulmonary valve replacement was eventually performed.

摘要

孤立性肺动脉瓣心内膜炎（IPE）是感染性心内膜炎的一种罕见形式。本文报告了一例49岁的IPE患者，该患者最初因疑似胆囊炎入院。经胸超声心动图（TTE）和经食管超声心动图（TEE）检测到赘生物后，首先尝试根据药敏结果进行抗生素治疗；然而，由于感染指标持续升高和瓣膜结构受损，最终进行了肺动脉瓣置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d819/11631985/943d1c40c98c/508_2024_2416_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d819/11631985/943d1c40c98c/508_2024_2416_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d819/11631985/943d1c40c98c/508_2024_2416_Fig1_HTML.jpg

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本文引用的文献

1
Optimal Timing for Cardiac Surgery in Infective Endocarditis with Neurological Complications: A Narrative Review.感染性心内膜炎合并神经系统并发症时心脏手术的最佳时机：一项叙述性综述
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Pulmonary valve infective endocarditis: A case series.肺动脉瓣感染性心内膜炎：病例系列
Ann Pediatr Cardiol. 2021 Oct-Dec;14(4):496-500. doi: 10.4103/apc.apc_14_21. Epub 2022 Mar 25.
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Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review.孤立性肺动脉瓣心内膜炎快速进展：病例报告及文献复习。
J Cardiothorac Surg. 2021 Jan 28;16(1):16. doi: 10.1186/s13019-020-01375-w.
4
Isolated Pulmonic Valve Endocarditis: Case Report and Review of Existing Literature on Diagnosis and Therapy.孤立性肺动脉瓣心内膜炎：病例报告及关于诊断与治疗的现有文献综述
CASE (Phila). 2019 Jul 19;3(5):227-230. doi: 10.1016/j.case.2019.05.003. eCollection 2019 Oct.
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Clinical presentation, aetiology and outcome of infective endocarditis. Results of the ESC-EORP EURO-ENDO (European infective endocarditis) registry: a prospective cohort study.感染性心内膜炎的临床表现、病因和结局。ESC-EORP EURO-ENDO（欧洲感染性心内膜炎）注册研究的结果：一项前瞻性队列研究。
Eur Heart J. 2019 Oct 14;40(39):3222-3232. doi: 10.1093/eurheartj/ehz620.
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Haemodialysis is a major risk factor for infective endocarditis - Authors' reply.
Lancet. 2016 Jul 23;388(10042):340. doi: 10.1016/S0140-6736(16)31015-7.
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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.
8
Surgery for infective endocarditis: who and when?感染性心内膜炎的手术治疗：对象与时机？
Circulation. 2010 Mar 9;121(9):1141-52. doi: 10.1161/CIRCULATIONAHA.108.773598.
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Rev Esp Cardiol. 2009 Dec;62(12):1388-94. doi: 10.1016/s1885-5857(09)73533-9.
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Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study.21世纪感染性心内膜炎的临床表现、病因及转归：国际心内膜炎协作组前瞻性队列研究
Arch Intern Med. 2009 Mar 9;169(5):463-73. doi: 10.1001/archinternmed.2008.603.