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经导管主动脉瓣置换术中移动性肿物的鉴别:血栓还是赘生物?

Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?

作者信息

Arreguin Alexander, Goyal Akash, Boudoulas Konstantinos Dean, Potter Adam, Obarski Timothy

机构信息

Department of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

出版信息

Case Rep Cardiol. 2025 May 5;2025:9915565. doi: 10.1155/cric/9915565. eCollection 2025.

Abstract

A 58-year-old female presented with new-onset dyspnea. Two years prior, she had undergone a transcatheter aortic valve replacement with a 26-mm Edwards Sapien 3 valve. Diagnostic testing included transthoracic and transesophageal echocardiograms that revealed increased transvalvular gradients and suspected prosthetic thrombosis. Laboratory testing included blood cultures that unexpectedly grew . This case highlights the difficulty in differentiating prosthetic valve thrombosis from infective endocarditis and the possible therapeutic complications that could arise.

摘要

一名58岁女性出现新发呼吸困难。两年前,她接受了经导管主动脉瓣置换术,植入了一枚26毫米的爱德华兹Sapien 3瓣膜。诊断性检查包括经胸和经食管超声心动图,结果显示跨瓣压差增加,怀疑人工瓣膜血栓形成。实验室检查包括血培养,结果意外培养出…… 该病例凸显了区分人工瓣膜血栓形成与感染性心内膜炎的困难以及可能出现的治疗并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1912/12069840/1f514eb18fb3/CRIC2025-9915565.001.jpg

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