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经皮导管摘取术在动脉导管未闭患儿心脏内赘生物中的应用：一种避免开胸的新方法。

Percutaneous Retrieval of a Vegetation in a Pediatric Patient with Patent Ductus Arteriosus: A New Technique to Avoid Thoracotomy.

机构信息

Instituto Nacional de Pediatria, Ciudad De Mexico - México.

出版信息

Arq Bras Cardiol. 2024 Sep;121(9):e20140010. doi: 10.36660/abc.20240010.

DOI:10.36660/abc.20240010
PMID:39442129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11634223/
Abstract

Infective endocarditis in the pediatric population is a rare condition that may or may not be associated with a congenital heart disease. Current treatment modalities are based on long-term antibiotic therapy and surgical resection as the first option for cases of persistent vegetation. We present a case of successful percutaneous retrieval of a vegetation in a patent ductus arteriosus, that extended to the pulmonary artery trunk in a pediatric patient. This is the first report in the literature on this type of extraction of vegetation in the ductus arteriosus without thoracotomy.

摘要

儿童感染性心内膜炎是一种罕见疾病，可能与先天性心脏病有关，也可能无关。目前的治疗方法是长期抗生素治疗和手术切除，如果持续存在赘生物，则首选手术切除。我们报告了一例成功经皮取出动脉导管未闭伴延伸至肺动脉干赘生物的病例。这是文献中首例报道的无需开胸手术经皮取出动脉导管内赘生物的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c1f0cc3cb565/0066-782X-abc-121-09-e20140010-gf05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c44f13d76fbc/0066-782X-abc-121-09-e20140010-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/49acd9bfa066/0066-782X-abc-121-09-e20140010-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/4a0bba85675d/0066-782X-abc-121-09-e20140010-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/08992a0d9a7b/0066-782X-abc-121-09-e20140010-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c1f0cc3cb565/0066-782X-abc-121-09-e20140010-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c44f13d76fbc/0066-782X-abc-121-09-e20140010-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/49acd9bfa066/0066-782X-abc-121-09-e20140010-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/4a0bba85675d/0066-782X-abc-121-09-e20140010-gf03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/08992a0d9a7b/0066-782X-abc-121-09-e20140010-gf04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c1f0cc3cb565/0066-782X-abc-121-09-e20140010-gf05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c44f13d76fbc/0066-782X-abc-121-09-e20140010-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/49acd9bfa066/0066-782X-abc-121-09-e20140010-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/4a0bba85675d/0066-782X-abc-121-09-e20140010-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/08992a0d9a7b/0066-782X-abc-121-09-e20140010-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c1f0cc3cb565/0066-782X-abc-121-09-e20140010-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c44f13d76fbc/0066-782X-abc-121-09-e20140010-gf01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/49acd9bfa066/0066-782X-abc-121-09-e20140010-gf02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/4a0bba85675d/0066-782X-abc-121-09-e20140010-gf03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/08992a0d9a7b/0066-782X-abc-121-09-e20140010-gf04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/11634223/c1f0cc3cb565/0066-782X-abc-121-09-e20140010-gf05-en.jpg

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Percutaneous Retrieval of a Vegetation in a Pediatric Patient with Patent Ductus Arteriosus: A New Technique to Avoid Thoracotomy.经皮导管摘取术在动脉导管未闭患儿心脏内赘生物中的应用：一种避免开胸的新方法。
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本文引用的文献

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Outcomes and survival of patients undergoing percutaneous vegetectomy for right heart endocarditis.接受经皮赘生物切除术治疗右心内膜炎患者的治疗效果及生存率
Int J Cardiol Heart Vasc. 2023 Jun 12;47:101231. doi: 10.1016/j.ijcha.2023.101231. eCollection 2023 Aug.
2
Percutaneous Retrieval of an Aortic Valve Vegetation Causing Severe Regurgitation and Cardiogenic Shock.经皮取出导致严重反流和心源性休克的主动脉瓣赘生物
JACC Cardiovasc Interv. 2023 May 22;16(10):1301-1303. doi: 10.1016/j.jcin.2023.03.027. Epub 2023 May 3.
3
Infective Endocarditis in Patient With Uncorrected Patent Ductus Arteriosus: A Case Report From Rural India.
未矫正动脉导管未闭患者的感染性心内膜炎：来自印度农村的一例报告
Cureus. 2022 Nov 29;14(11):e32004. doi: 10.7759/cureus.32004. eCollection 2022 Nov.
4
Infective endocarditis in paediatric population.小儿感染性心内膜炎。
Eur J Pediatr. 2021 Oct;180(10):3089-3100. doi: 10.1007/s00431-021-04062-7. Epub 2021 Apr 14.
5
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.
6
Percutaneous Removal of a Cardiac Mass in a Patient with Infective Endocarditis: A Case Report.经皮切除感染性心内膜炎患者的心脏肿物：一例报告
J Pediatr Intensive Care. 2019 Jun;8(2):103-107. doi: 10.1055/s-0038-1675194. Epub 2018 Oct 24.
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Vacuum-assisted vegetation removal with percutaneous lead extraction: a systematic review of the literature.经皮导线拔除术中的真空辅助植被清除：文献系统评价
J Interv Card Electrophysiol. 2019 Aug;55(2):129-135. doi: 10.1007/s10840-019-00555-6. Epub 2019 Apr 25.
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A successful percutaneous mechanical vegetation debulking used as a bridge to surgery in acute tricuspid valve endocarditis.成功实施经皮机械性赘生物减容术作为急性三尖瓣心内膜炎手术的桥梁。
J Thorac Dis. 2016 Jan;8(1):E137-9. doi: 10.3978/j.issn.2072-1439.2016.01.02.
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