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经皮二尖瓣球囊成形术后感染性心内膜炎:来自埃塞俄比亚吉马医疗中心的一名25岁女性病例报告。

Infective endocarditis following percutaneous balloon mitral valvuloplasty: A case report of a 25-year-old female from Jimma Medical Center of Ethiopia.

作者信息

Tukeni Kedir Negesso, Woyimo Tamirat Godebo, Diba Leta Alemu, Asefa Elsah Tegene

机构信息

Internist, and Cardiologist Jimma University Jimma Ethiopia.

Internal Medicine Resident Jimma University Jimma Ethiopia.

出版信息

Clin Case Rep. 2024 Sep 30;12(10):e9450. doi: 10.1002/ccr3.9450. eCollection 2024 Oct.

Abstract

Rheumatic mitral stenosis is a common rheumatic heart diseases in sub-Saharan Afrleading to increased morbidity and mortality. Percutaneous mitral balloon valvuloplasty is the mainstay of less invasive therapy in those with moderate to severe valve stenosis, being symptomatic despite optimal medical therapy. Though generally save with experienced hand and setup, post procedural complications include development of mitral regurgitation, tear and thrombosis. Mitral leaflet tear and development of infective endocarditis are an uncommon but might lead to increased morbidity, rehospitalization and mortality.

摘要

风湿性二尖瓣狭窄是撒哈拉以南非洲地区常见的风湿性心脏病,会导致发病率和死亡率上升。经皮二尖瓣球囊成形术是中度至重度瓣膜狭窄患者(尽管接受了最佳药物治疗仍有症状)的主要微创治疗方法。尽管在经验丰富的医生操作和合适的设备条件下通常是安全的,但术后并发症包括二尖瓣反流、撕裂和血栓形成。二尖瓣叶撕裂和感染性心内膜炎的发生并不常见,但可能会导致发病率增加、再次住院和死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb4/11442330/5be790249ab2/CCR3-12-e9450-g002.jpg

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