传染性内心炎 19 个月后 透导管 奥斯二次心房 Septal 缺陷 关闭 在一个 6 岁的老年人
Camille Gery1, Anne Sophie Leborgne2, Grégoire Albenque1
1Filière des cardiopathies congénitales enfant adultes, Hôpital Marie Lannelongue, Centre constitutif du réseau maladies rares malformations cardiaques congénitales complexes-M3C, les Hôpitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, France.
JACC. Case reports
|October 3, 2025
概括
传染性内心炎 (IE) 是通过导管的心房隔膜缺陷 (ASD) 关闭后的一种罕见并发症. 这一案例突出了晚期发病的IE,强调了对隔膜闭塞患者持续警和卫生教育的需要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗病例报告 病例报告
背景情况:
- 传染性内心炎 (IE) 是通过导管关闭心房隔膜缺陷 (ASD) 后的一种不常见的并发症.
- 晚期发病的IE可以发生在典型的早期术后期之外.
研究的目的:
- 报告一个罕见的经过过导管ASD关闭后晚发性IE病例.
- 讨论对当前临床指南和患者管理的影响.
主要方法:
- 一个6岁女孩的病例报告,患有抗甲林的金黄色葡萄球菌IE,ASD装置关闭后19个月.
- 治疗包括经验性抗生素,手术设备移除,ASD修复,三管修复和向抗生素.
主要成果:
- 患者呈现出严重的败血症和ASD封闭器上的大量植被.
- 手术干预和为期6周的向抗生素疗程导致了有利的1年结果.
- 尽管初始的抗生素治疗仍然存在持续的细菌血症,但需要将设备移除.
结论:
- 过导管ASD关闭后晚期发病的IE,虽然很少见,但在手术后可能会显著发生.
- 目前的指导方针可能需要重新评估预防措施的持续时间.
- 长期保持警和加强对卫生方面的患者教育对于预防隔膜闭塞患者晚期IE至关重要.
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