门内TAVR后的大动脉伪动脉瘤:传染性内心炎的独特表现
Akiva Rosenzveig1, Venu Menon1, Shinya Unai2
1Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
JACC. Case reports
|December 2, 2024
概括
一位经过多次心脏门手术的患者患上了斯塔菲洛科克斯冠状病毒的细菌性病. 影像检查显示了伪动脉瘤,导致了成功的跨导管大动脉置换和大动脉根置换.
科学领域:
- 心血管医学 心血管医学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 一名72岁的男性患者在病史中曾经接受过大动脉置换 (AVR),中枢 (MV) 修复以及最近的内透管大动脉置换 (TAVR).
- 这位患者出现了由Staphylococcus capitis引起的细菌病.
研究的目的:
- 报告患有多次心脏门干预病史的患者患有Staphylococcus capitis bacteremia的病例.
- 描述诊断方法和成功的手术管理,在这个复杂的病人中感染后的伪动脉瘤.
主要方法:
- 对心脏门干预的临床表现和病史进行了审查.
- 计算机断层扫描 (CT) 和18F-FDG PET成像被用于诊断.
- 该患者接受了透管大动脉置换 (TAVR) 扩展,大动脉根修复和门置换.
主要成果:
- 鉴定出了葡萄球杆菌冠状炎细菌病.
- CT和18F-FDG PET成像显示了一个伪动脉瘤.
- 该患者经过了成功的TAVR扩张术与大动脉根和门置换,表明感染并发症和结构异常的解决.
结论:
- 在患有假心的患者中,Staphylococcus capitis可能会导致严重的并发症,包括伪动脉瘤.
- 多模式成像 (CT和18F-FDG PET) 对于诊断这种并发症至关重要.
- 在某些情况下,TAVR的外科扩展和大动脉根置换可以成为成功的治疗策略.
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