通过食道心声 (TEE) 进行3D胃外视图,以诊断隔离的肺内心炎:当标准视图不足时
Alex P Rodriguez1, Sonia I Vicenty-Rivera1,2
1Cardiology, Bruce W. Carter Veterans Affairs (VA) Miami Healthcare System, Miami, USA.
Cureus
|March 17, 2026
概括
隔离性肺内心炎 (PVE) 是罕见的,难以诊断的. 先进的成像,如跨胃3DTEE,在其他方法失败时,在患有持续性细菌病的患者中检测PVE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:
- 隔离性肺内心炎 (PVE) 提出了独特的诊断挑战,与典型的左侧或三膜感染不同.
- 末期脏病患者在血液透析和持续性细菌病,即使没有经典的危险因素,也需要考虑PVE.
研究的目的:
- 为了突出孤立PVE的诊断困难.
- 强调先进的心声回声技术在诊断PVE中的实用性.
主要方法:
- 一个83岁的男性病例报告,患有末期脏病和持久性黄金杆菌菌血症.
- 使用常规和先进的过食管心声学 (TEE),包括跨胃的2D和3D视图,以可视化肺.
- 与临床表现和诊断工作相关的成像发现.
主要成果:
- 标准的诊断方法和最初的TEE由于声影而无法得出结论.
- 跨胃二维和三维TEE成功地在肺上发现了植被,证实了孤立的PVE.
- 患者在继续治疗后出现了临床改善.
结论:
- 在患有不明原因的持续性细菌病的患者中,应考虑隔离PVE,特别是那些有血管内装置的患者.
- 跨胃3DTEE对于在传统成像不足的情况下进行详细的肺评估是非常宝贵的.
- 为了有效地管理PVE,必须采用多学科的方法.
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