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2.
FRANK ESPERSEN NIELS FRIMODT-MLLER VIBEKE THAMDRUP ROSDAHL OVE JESSEN VIGGO FABER KIRSTEN ROSENDAL 《Journal of internal medicine》1987,222(5):465-470
ABSTRACT. A total of 6 253 cases of Staphylococcus aureus bacteremia, including 274 (4.4%) endocarditis cases, were registered in Denmark in the period 1975–1984. Patients with hematological malignancies and/or agranulocytosis accounted for 479 of the bacteremia cases. The incidence of endocarditis in this group of patients was only 0.4% as compared to 4.7% in other patients with staphylococcal bacteremia (p<0.01). The lower incidence of endocarditis complicating bacteremia in these patients may justify a shorter course of therapy than usually recommended for suspected endocarditis. Patients with hematological malignancies and other patients with agranulocytosis had a higher mortality (49 and 46%, respectively) than other patients with S. aureus bacteremia (33%). The highest mortality was found in patients with multiple myeloma (71%, p<0.01), the lowest in patients with acute lymphocytic leukemia (28%, p<0.01). The higher mortality in these patients may indicate that empiric antibiotic regimens in granulocytopenic patients should include a specific anti-staphylococcal agent. 相似文献
3.
Tsutomu Saito Hiroyuki Horimi Tsuguo Hasegawa Toshiro Kamoshida 《Surgery today》1993,23(12):1081-1084
We report herein the case of a 42-year-old man in whom dyspnea on exertion was found to be caused by isolated tricuspid stenosis. Two-dimensional echocardiogram showed thickening of the tricuspid valve with a markedly enlarged right atrium. A color-flow Doppler examination-revealed severe tricuspid stenosis without regurgitation and a Doppler-derived tricuspid diastolic pressure gradient of 23 mmHg. At the time of surgery, the patient was noted to have a stenotic tricuspid valve with thickened leaflets, fused commissures, and almost normal chorda tendineae. The valve leaflets were teased apart to the scattered specimen, and tricuspid valve replacement was successfully performed. Microscopic examination of the specimen demonstrated infective endocarditis. Isolated acquired tricuspid stenosis is extremely rare and, to our knowledge, this is the first case of infective endocarditis being involved as the primary cause. 相似文献
4.
NAVIN C. NANDA M.D. SAYED MOHAMMED ABD-EL RAHMAN M.D. GAJENDRA KHATRI M.D. GOPAL AGRAWAL M.D. ADEL A. EL-SAYED M.D. HASSAN A. SHEHATA HASSANIAN M.D. MOHAMMAD KAMRAN M.D. JAMES KIRKLIN M.D. DAVID C. McGIFFIN M.D. WILLIAM L. HOLMAN M.D. ALBERT D. PACIFICO M.D. 《Echocardiography (Mount Kisco, N.Y.)》1995,12(6):619-628
In the present study, we compared three-dimensionally (3-D) reconstructed images with multiplane two-dimensional (2-D) transesophageal echocardiographic (TEE) images in 17 patients with various cardiac masses and defects. To overcome the problem of making measurements from 3-D reconstructed images, we carefully "dissected" the 3-D dataset using paraplane and anyplane 2-D sections, which were then used to obtain the maximum sizes of the cardiac masses and defects. Of the 15 vegetations and 9 abscesses detected by 3-D TEE in 7 patients, only 8 (53%) vegetations and 4 (44%) abscesses were detected by multiplane 2-D TEE (P < 0.02). Also, the exact anatomical location, shape, geometry, and extent of various cardiac masses and defects were more clearly delineated by 3-D than 2-D TEE. The maximum dimensions of cardiac masses and defects were larger by 3-D than by 2-D TEE in 17 (89%) of the 19 lesions available for comparison (P < 0.002). In addition, 3-D TEE correlated more closely than 2-D TEE when compared to surgical measurements in three patients in whom they were available. Thus, it would appear that in several instances, the exact size of the cardiac lesion could only be assessed by analysis of the 3-D volumetric dataset. Out preliminary study has demonstrated the superiority of transesophageal 3-D reconstruction over multiplane 2-D TEE in both qualitative and quantitative assessment of various cardiac mass lesions and pathological defects. 相似文献
5.
本文报道了15例感染性心内膜炎(IE)的外科治疗结果。左心IE9例,其中3例合并风湿性心脏病。右心IE6例,均合并先天性室间隔缺损(VSD)。活动性IE13例,静止期IE2例。右心IE的手术方法是修补VSD,剥除三尖瓣上的赘生物并涂以0.5%活力碘,环缩三尖瓣环。左心IE的处理方法为瓣膜置换。手术死亡2例。本文着重对手术时机进行了讨论。 相似文献
6.
W. N. HABRE E. F. VAN GESSEL CH. MAMIE R. CANTIENI P. M. SUTER 《Acta anaesthesiologica Scandinavica》1994,38(6):612-614
Severe aortic regurgitation was discovered in a young man 21 days after blunt chest trauma and after a prolonged febrile state with positive blood cultures. Using transoesophageal echocardiography (TEE), it was possible to make the differential diagnosis between traumatic rupture and endocarditis as the cause of valvular insufficiency. The use of TEE in the initial evaluation of severe thoracic trauma with an unclear clinical picture is recommended. This method is easy to use at the bedside and gives precise information on the aortic valve and the ascending aorta. 相似文献
7.
Manabu Noguchi Hideaki Takai Kiyoyuki Eishi Sunao Atogami 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2004,52(6):318-321
Prosthetic valve endocarditis (PVE) caused by Candida species is associated with high morbidity and mortality. A combination
of surgical resection and antifungal drug therapy is the golden standard for treatment, yet surgical intervention is not possible
in all cases of Candida PVE. We report a case of PVE due to Candida albicans cured by medical treatment alone. This case suggests
that, in some instances, Candida PVE can be managed medically with antifungal therapy. Such a conservative approach should
be applied with caution and necessitates very close follow-up on a long-term basis. 相似文献
8.
Hiroichiro Yamaguchi Kiyoyuki Eishi Shiro Yamachika Kazuyoshi Tanigawa Kenta Izumi Seiji Matsukuma 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2005,53(7):372-376
We describe a case of successful combined repair of the aortic and mitral valves for an indication of active infective endocarditis
involving both valves. Mitral valve repair was achieved by vegetation debridement, fixation of the anterior mitral commissure,
resection and suturing of the posterior mitral leaflet, and posterior annuloplasty with autologous pericardium. Aortic valve
repair was achieved by vegetectomy and commissural plication. Postoperative clinical course was without signs of recurrent
infection, and echocardiogram demonstrated mitral valve competence with trivial aortic regurgitation. We concluded that simultaneous
valve repair is a viable option in the context of active endocarditis. 相似文献
9.
R. Brian Fazia Roger M. Mills C. Richard Conti Edward D. Staples 《Clinical cardiology》1996,19(8):672-674
Infective endocarditis is an infrequent but serious complication in heart transplant recipients. We report successful treatment for this serious complication. 相似文献
10.
A case of bacterial endocarditis following percutaneous angiography and angioplasty of a subclavian artery stenosis is described. Septic complications following angiography and angioplasty, and the role of prophylactic antibiotics are discussed. 相似文献