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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.

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/c44f13d76fbc/0066-782X-abc-121-09-e20140010-gf01.jpg

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