Infective Endocarditis of Patent Foramen Ovale Closure Device Presenting as an Amoeboid-Like Mass.
Infective Endocarditis of Patent Foramen Ovale Closure Device Presenting as an Amoeboid-Like Mass.
复制标题
卵圆孔未闭封闭装置的感染性心内膜炎表现为变形虫样肿块。
DOI：
10.1016/j.jcin.2018.06.055
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Kotani Y,
中科院分区：
文献类型：
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作者：
Yamaoka H;Takaya Y;Watanabe N;Akagi T;Nakagawa K;Toh N;Kotani Y,
她手掌上有珍妮薇损伤。6年前，她接受了使用30 mm Amplatzer Cribriform器械（Abbott，芝加哥，伊利诺伊州）进行的经导管卵圆孔未闭封堵术。发病前两个月，她接受了牙科手术，没有抗生素预防。血培养显示耐甲氧西林金黄色葡萄球菌。经胸超声心动图显示器械左心房侧有轻微闪烁病变，但这些病变尚不清楚。经食管超声心动图显示一个20 x 15 mm的高度移动的肿块附着在器械的左心房表面，呈变形虫样。低回声材料被膜包围（图1，在线视频1）。进行了紧急手术。发现右心房盘上的不完全内皮化和肿块（图2A）。在切开隔膜时，脓性物质从高度狭窄的
Janeway lesions on her palms. She had undergone transcatheter patent foramen ovale closure with a 30-mm Amplatzer Cribriform device (Abbott, Chicago, Illinois) 6 years before. Two months before onset, she had received dental procedures without antibiotic prophylaxis. Blood cultures grew methicillin-resistant Staphylococcus aureus. Transthoracic echocardiography showed slightly flickered lesions on the left atrial side of the device, but these were unclear. Transesophageal echocardiography showed a 20 x 15-mm highly mobile mass attached to the left atrial surface of the device, which was amoeboid-like. The hypoechoic material was surrounded by a membrane (Figure 1, Online Video 1). Urgent surgery was performed. The incomplete endothelialization and mass on the right atrial disc were found (Figure 2A). During an incision through the septum, the purulent matter flowed out of the highly