累及主动脉瓣的冠状动脉瘘感染性心内膜炎
Infective Endocarditis of a Coronary Artery Fistula With Aortic Valve Involvement.
作者信息
Sahebjam Mohammad, Toofaninejad Neda, Biranvand Hamidreza, Dehghani Firoozabadi Mehdi, Asl Fallah Sahar, Kafashi Mohsen, Mojahedin Simin
机构信息
Department of Echocardiography, Tehran Heart Center, Cardiovascular Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Tehran Heart Center, Cardiovascular Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
CASE (Phila). 2025 Mar 4;9(4):124-129. doi: 10.1016/j.case.2025.01.002. eCollection 2025 Apr.
• CAF is a rare congenital coronary artery anomaly. • IE is a rare complication of CAF. • Both TEE and CT angiography can identify CAF and its origin and drainage site. • TEE has higher sensitivity than CCT in diagnosing vegetations. • Antibiotic prophylaxis is recommended for all patients with congenital CAFs.
• 冠状动脉瘘（CAF）是一种罕见的先天性冠状动脉异常。
• 感染性心内膜炎（IE）是CAF的一种罕见并发症。
• 经食管超声心动图（TEE）和CT血管造影均可识别CAF及其起源和引流部位。
• 在诊断赘生物方面，TEE比心脏CT（CCT）具有更高的敏感性。
• 建议对所有先天性CAF患者进行抗生素预防。
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