复杂的传染性内心炎中的多重伪动脉瘤:阴阳标志的重要性和多模式成像-病例报告
César Augusto Rojas-Sánchez1, Gabriela Meléndez-Ramírez2, Zaee Alvarado-Toledo3
1Department of Cardiology, Centro Médico Nacional 20 de Noviembre, Av. Felix Cuevas #540, Col. Del Valle, Del. Benito Juarez, Mexico City 03100, Mexico.
European heart journal. Case reports
|December 4, 2025
概括
多重伪动脉瘤 (pAs) 是传染性内心炎 (IE) 的罕见并发症,经常带来独特的诊断和管理挑战. 早期多模式成像对于识别这些危及生命的病变至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 传染性内心炎 (IE) 的发病率和死亡率在全球范围内不断上升.
- 伪动脉瘤 (pAs) 是罕见的,局部扩张,由IE相关的组织破坏引起.
- 多重PA是不常见的,但是在医院死亡率的重要预测因素.
研究的目的:
- 描述由多个伪动脉瘤复杂的IE的三个不同的病例.
- 突出诊断和管理中的独特特征和挑战.
- 强调多模式成像在识别pAs中的作用.
主要方法:
- 三名患有IE和多个pAs的患者的病例系列.
- 利用多模式成像,包括心声学和心脏血管计算机断层扫描.
- 描述了诊断线索,例如颜色多普勒上的阴阳符号.
主要成果:
- 患者1:两种PA的BAV,通过手术成功治疗.
- 患者2:经过两次大PA的Bentall手术后,死于耐火性血管性休克.
- 患者3:BAV有三个pAs和先天性缺陷,死于耐火性心脏性休克.
结论:
- 在IE中存在多个PA,具有多样化和严重的临床结果.
- 准确的诊断和定位在很大程度上依赖于多模式成像.
- 阴阳标志是疑似pAs的IE患者的关键诊断线索.
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