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主动脉瓣心内膜炎中的主动脉环脓肿和二尖瓣动脉瘤:经食管超声心动图提高诊断率

Aortic ring abscess and mitral valve aneurysm in aortic valvular endocarditis: enhanced diagnosis with transesophageal echocardiography.

作者信息

Geiger-Dow J E, Knight J L, Sanfilippo A J

机构信息

Division of Cardiology and Cardiothoracic Surgery, Queen's University, Kingston, Ontario.

出版信息

Can J Cardiol. 1995 Mar;11(3):239-42.

PMID:7889443
Abstract

Aortic ring abscess and mitral valve aneurysms complicating infective endocarditis have previously been described as surgical or autopsy findings. More recently, transesophageal echocardiography has been shown to be more sensitive than standard transthoracic echocardiography or other imaging modalities in detecting each of these complications. Since aortic ring abscess and mitral valve aneurysms virtually mandate surgical intervention, their early detection may be crucial. This report describes a 35-year-old male with congenitally abnormal aortic valve which became infected and in whom both an aortic ring abscess and mitral valve aneurysm occurred. These findings are discussed and the pertinent literature is reviewed.

摘要

主动脉环脓肿和二尖瓣动脉瘤并发感染性心内膜炎,此前已被描述为手术或尸检结果。最近的研究表明,经食管超声心动图在检测这些并发症方面比标准经胸超声心动图或其他成像方式更敏感。由于主动脉环脓肿和二尖瓣动脉瘤实际上需要手术干预,因此早期发现可能至关重要。本报告描述了一名35岁男性,其先天性主动脉瓣异常并发生感染,同时出现了主动脉环脓肿和二尖瓣动脉瘤。本文对这些发现进行了讨论,并回顾了相关文献。

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