https://scholars.lib.ntu.edu.tw/handle/123456789/469833
標題: | Preoperative demonstration of aortocardiac fistula caused by aortic valve endocarditis using real-time three-dimensional echocardiography - A case report | 作者: | Wang J.-Y. Tsai T.-Y. RON-BIN HSU Lin, Lung-Chun CHAU-CHUNG WU |
公開日期: | 2005 | 卷: | 21 | 期: | 2 | 起(迄)頁: | 116-120 | 來源出版物: | Acta Cardiologica Sinica | 摘要: | Despite advances in diagnostic modality and treatment, infective endocarditis is still a life-threatening disease with significant morbidity and mortality. Endocarditis of native aortic valve may invade the perivalvular tissue, causing a severe valvular regurgitation, conduction disturbances, and less commonly, the intracardiac fistula. We here report a 52-year-old woman with infective endocarditis caused by Staphylococcus capitis. Echocardiographic examination revealed severely destructed aortic valve with perivalvular invasion, resulting in an aortocardiac fistula into the right atrium. The initial hemodynamic status of the patient was so stable that a full-course of antibiotic treatment for 4 weeks could be completed. However, just one day before the scheduled operation, sudden onset of free aortic regurgitation resulted in an acute decompensated heart failure and prompted the patient to an emergent operation. Accurate preoperative diagnosis by 3D-echocardiography made the emergent surgical intervention smooth and successful. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-26944450905&partnerID=40&md5=b7d88677be26c6e94b1da83058240935 https://scholars.lib.ntu.edu.tw/handle/123456789/469833 |
ISSN: | 1011-6842 | SDG/關鍵字: | vancomycin; adult; anamnesis; aorta valve disease; aorta valve regurgitation; aortocaval fistula; article; bacterial endocarditis; case report; clinical feature; female; heart failure; human; real time echography; Staphylococcus; staphylococcus capitis; three dimensional echocardiography |
顯示於: | 醫學教育暨生醫倫理學科所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。