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经导管主动脉瓣置换术(TAVR)后瓣膜内瓣膜置入术后主动脉假性动脉瘤:感染性心内膜炎的一种独特表现。

Aortic Pseudoaneurysm After Valve-in-Valve TAVR: A Unique Presentation of Infective Endocarditis.

作者信息

Rosenzveig Akiva, Menon Venu, Unai Shinya, Reed Grant W

机构信息

Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.

Department of Thoracic and Cardiovascular Surgery, Cleveland, Ohio, USA.

出版信息

JACC Case Rep. 2024 Nov 6;29(21):102692. doi: 10.1016/j.jaccas.2024.102692.

DOI:10.1016/j.jaccas.2024.102692
PMID:39619043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11602633/
Abstract

A 72-year-old man with a history of aortic valve replacement (AVR), mitral valve (MV) repair, and recent valve-in-valve transcatheter aortic valve replacement (TAVR) presented with bacteremia. Computed tomography (CT) and fluorodeoxyglucose positron emission tomography (F-FDG PET) imaging noted a pseudoaneurysm, and he successfully underwent TAVR explant with aortic root and valve replacement.

摘要

一名72岁男性,有主动脉瓣置换术(AVR)、二尖瓣(MV)修复术病史,近期接受了经导管主动脉瓣置换术(TAVR)中的瓣中瓣置换,现出现菌血症。计算机断层扫描(CT)和氟脱氧葡萄糖正电子发射断层扫描(F-FDG PET)成像发现一个假性动脉瘤,他成功接受了TAVR植入物取出术并进行了主动脉根部和瓣膜置换。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/38f2585af031/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/19182fb621a9/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/0a26a9273d05/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/38f2585af031/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/19182fb621a9/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/0a26a9273d05/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3ac/11602633/38f2585af031/gr2.jpg

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本文引用的文献

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2023 ESC Guidelines for the management of endocarditis.2023年欧洲心脏病学会感染性心内膜炎管理指南。
Eur Heart J. 2023 Oct 14;44(39):3948-4042. doi: 10.1093/eurheartj/ehad193.
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Explant vs Redo-TAVR After Transcatheter Valve Failure: Mid-Term Outcomes From the EXPLANTORREDO-TAVR International Registry.
经导管瓣膜失效后取出瓣膜与再次经导管主动脉瓣置换术:EXPLANTORREDO-TAVR国际注册研究的中期结果
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Infective Endocarditis After Transcatheter Aortic Valve Replacement: JACC State-of-the-Art Review.经导管主动脉瓣置换术后感染性心内膜炎:JACC 最新综述。
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Incidence, Clinical Characteristics, and Impact of Absent Echocardiographic Signs in Patients With Infective Endocarditis After Transcatheter Aortic Valve Implantation.经导管主动脉瓣植入术后感染性心内膜炎患者超声心动图征象缺失的发生率、临床特征及影响
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Diagnostic Performance of Transesophageal Echocardiography and Cardiac Computed Tomography in Infective Endocarditis.经食管超声心动图与心脏计算机断层扫描在感染性心内膜炎中的诊断性能。
J Am Soc Echocardiogr. 2020 Dec;33(12):1442-1453. doi: 10.1016/j.echo.2020.07.017. Epub 2020 Sep 25.
7
Comparison Between ESC and Duke Criteria for the Diagnosis of Prosthetic Valve Infective Endocarditis.ESC 与 Duke 标准对人工瓣膜感染性心内膜炎诊断的比较。
JACC Cardiovasc Imaging. 2020 Dec;13(12):2605-2615. doi: 10.1016/j.jcmg.2020.04.011. Epub 2020 Jun 17.
8
Diagnosis of Infective Endocarditis by Subtype Using F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography: A Contemporary Meta-Analysis.使用 F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描对感染性心内膜炎进行亚型诊断:一项当代荟萃分析。
Circ Cardiovasc Imaging. 2020 Jun;13(6):e010600. doi: 10.1161/CIRCIMAGING.120.010600. Epub 2020 Jun 8.
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JAMA. 2016 Sep 13;316(10):1083-92. doi: 10.1001/jama.2016.12347.
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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)。
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