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金黄色葡萄球菌性三尖瓣感染性心内膜炎合并难治性脓毒症及双侧肺脓肿，经辅助机械抽吸成功治愈。

Staphylococcal tricuspid valve infective endocarditis complicated by refractory sepsis and bilateral lung abscesses successfully treated with adjunctive mechanical aspiration.

作者信息

Lawati Hatim Al, Wuhaibi Kamla Al, Nagy Zsolt L, Bagheri Ahmed Reza, El Hadad Mohammed Gamal, Shams Ahmed

机构信息

Department of Adult Cardiology, The National Heart Centre, The Royal Hospital, Oman.

Non-invasive Cardiac Laboratory, The National Heart Centre, The Royal Hospital, Oman.

出版信息

IDCases. 2024 Oct 12;38:e02092. doi: 10.1016/j.idcr.2024.e02092. eCollection 2024.

DOI:10.1016/j.idcr.2024.e02092
PMID:39494038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11530750/
Abstract

•In bulky infective vegetations, response to antibiotic therapy can be unpredictable due to the size of vegetations and distal embolization.•Early surgery is indicated in complicated staphylococcal tricuspid valve endocarditis, but is associated with substantial risk, including early prosthetic valve endocarditis•Large-bore percutaneous mechanical aspiration provides early source control and limits valve destruction and serves as destination therapy or a bridge to more definitive surgery.

摘要

•在巨大感染性赘生物中，由于赘生物大小及远端栓塞，对抗生素治疗的反应可能不可预测。

•复杂的葡萄球菌性三尖瓣心内膜炎需早期手术，但手术风险较大，包括早期人工瓣膜心内膜炎。

•大口径经皮机械抽吸可实现早期源头控制，限制瓣膜破坏，可作为目标治疗或更确定性手术的桥梁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/69120d379d7a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/eb81ee137d6a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/0c21282565af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/e3273149d063/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/69120d379d7a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/eb81ee137d6a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/0c21282565af/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/e3273149d063/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b5/11530750/69120d379d7a/gr4.jpg

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Staphylococcal tricuspid valve infective endocarditis complicated by refractory sepsis and bilateral lung abscesses successfully treated with adjunctive mechanical aspiration.金黄色葡萄球菌性三尖瓣感染性心内膜炎合并难治性脓毒症及双侧肺脓肿，经辅助机械抽吸成功治愈。
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本文引用的文献

1
Percutaneous Mechanical Aspiration in Infective Endocarditis: Applications, Technical Considerations, and Future Directions.感染性心内膜炎的经皮机械抽吸术：应用、技术考量及未来方向
J Soc Cardiovasc Angiogr Interv. 2024 Feb 20;3(4):101269. doi: 10.1016/j.jscai.2023.101269. eCollection 2024 Apr.
2
AngioVac for Vegetation Debulking in Right-sided Infective Endocarditis: A Systematic Review and Meta-Analysis.血管清除术治疗右侧感染性心内膜炎赘生物切除：系统评价和荟萃分析。
Curr Probl Cardiol. 2022 Nov;47(11):101353. doi: 10.1016/j.cpcardiol.2022.101353. Epub 2022 Aug 10.