相关实验视频
Updated: Jul 14, 2025

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Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
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病例报告:在中枢内心炎中,通过 patent foramen ovale 发生败血栓塞
Mohammad Abumehdi1, Maraisa Fachini Spada1, Thomas Semple1
1Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, Sydney Street, London, SW3 6NP, UK.
European heart journal. Case reports
|October 9, 2023
概括
通常来自右心脏的败血性肺栓塞,在患有传染性内心炎的儿童中观察到来自左心脏. 这种罕见的案例突显了通过圆孔 (PFO) 进行的栓塞迁移.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 传染性内心炎通常会导致败血栓塞,通常是植物下游的.
- 左侧心脏栓塞到肺循环是非常罕见的,特别是在没有先天性心脏病的情况下.
研究的目的:
- 报告一个由左侧传染性内心炎引起的感染性肺栓塞的独特病例.
- 在没有先天性心脏缺陷的情况下,通过圆孔 (PFO) 阐明栓塞的潜在机制.
主要方法:
- 一个4岁男孩患有传染性内心炎的案例报告.
- 诊断评估包括跨甲状腺心电图,以评估心脏结构和功能.
- 手术干预包括 mitra 植物切除,叶片切除,修复和膜整形.
主要成果:
- 患者出现了额头膜植被和严重的额头膜吐,以及PFO.
- 败血性肺栓塞的发展发生在没有右侧植被的情况下.
- 成功的手术管理和抗生素治疗导致了极好的康复.
结论:
- 这一案例表明,左侧传染性内心炎可以通过PFO通过悖论性栓塞导致败血性肺栓塞.
- 这些发现挑战了传染性内心炎中栓塞模式的传统理解,特别是在没有先天性心脏病的儿科病例中.
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