Percutaneous Retrieval of a Vegetation in a Pediatric Patient with Patent Ductus Arteriosus: A New Technique to Avoid Thoracotomy.

Miguel Fabian Barrerra-Colín, José Luis Colín-Ortiz, Carlos Alfonso Corona-Villalobos
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Abstract

Infective endocarditis in the pediatric population is a rare condition that may or may not be associated with a congenital heart disease. Current treatment modalities are based on long-term antibiotic therapy and surgical resection as the first option for cases of persistent vegetation. We present a case of successful percutaneous retrieval of a vegetation in a patent ductus arteriosus, that extended to the pulmonary artery trunk in a pediatric patient. This is the first report in the literature on this type of extraction of vegetation in the ductus arteriosus without thoracotomy.

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小儿动脉导管未闭患者的经皮取栓术:避免开胸手术的新技术。
小儿感染性心内膜炎是一种罕见病,可能与先天性心脏病有关,也可能无关。目前的治疗方法以长期抗生素治疗和手术切除为基础,并将手术切除作为治疗顽固性植被的首选方案。我们介绍了一例成功经皮取出动脉导管未闭植被的病例,该植被延伸至一名儿科患者的肺动脉主干。这是文献中首次报道这种无需开胸即可取出动脉导管内植被的手术。
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