右侧传染性内心炎在边缘到边缘透导管三管修复后
Juan Carlos Gómez Polo1, Isidre Vilacosta2, Gonzalo García Martí1
1Cardiology Department, Hospital Clínico San Carlos, Madrid, Spain.
JACC. Case reports
|March 28, 2025
概括
三管横导管端到端修复 (T-TEER) 后的传染性内心炎是一种罕见但严重的并发症. 这一案例凸显了与T-TEER设备感染相关的高死亡率,即使有医疗管理.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 三管横管端到端修复 (T-TEER) 是一种新兴的治疗方法,用于高风险患者的严重三管吐 (TR).
- 过导管边缘到边缘修复 (TEER) 设备容易感染.
研究的目的:
- 在T-TEER之后报告感染性内心炎的病例.
- 讨论与T-TEER相关的传染性内心炎的治疗方法和结果.
主要方法:
- 一个案例研究87岁的女性患有严重的TR接受T-TEER.
- 在T-TEER装置上诊断出耐美西林的 Staphylococcus epidermidis 内心炎.
- 由于手术风险过高,使用抗生素 (达普托米辛和里法辛) 进行治疗.
主要成果:
- 患者患有严重的败血症,T-TEER装置上有大量的植被.
- 由于手术风险很高,开始了医疗治疗.
- 患者经历了渐进性的败血症,最终死亡.
结论:
- 在T-TEER之后的传染性内心炎很少见,但与高死亡率有关.
- 缺乏管理T-TEER相关传染性内心炎的指导方针.
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