Surgical Treatment of Infective Endocarditis, Complicated with Splenic Abscesses

Q4 Medicine Acta Medica Bulgarica Pub Date : 2022-10-01 DOI:10.2478/amb-2022-0029
A. Keltchev, S. Kazakov, M. Alexieva, E. Mekov, G. Yankov, Assoc. Prof. Evgeni Mekov
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Abstract

Abstract Infectious endocarditis (IE) represents an inflammation of the heart endothelium usually as a result of bacterial colonization after trauma. Splenic abscess is a rare and dangerous extracardiac manifestation of IE. An expert multidisciplinary collaboration is necessary for the diagnosis and treatment strategy of this high-risk and challenging disease. Valvuloplasty and splenectomy are the mainstay of radical treatment and offer excellent long-term results. We present two cases with infectious endocarditis, complicated with splenic abscesses, which were successfully operated in the Department of Cardiac Surgery.
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感染性心内膜炎并发脾脓肿的外科治疗
感染性心内膜炎(IE)是一种心脏内皮的炎症,通常是创伤后细菌定植的结果。脾脓肿是IE罕见且危险的心外表现。专家多学科合作是必要的诊断和治疗策略,这一高风险和具有挑战性的疾病。瓣膜成形术和脾切除术是根治性治疗的主要方法,具有良好的远期疗效。我们报告2例感染性心内膜炎合并脾脓肿,在心脏外科成功手术。
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来源期刊
Acta Medica Bulgarica
Acta Medica Bulgarica Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
33
审稿时长
25 weeks
期刊介绍: About 30 years ago - in 1973, on the initiative of the Publishing House „Medicine and Physical Culture", namely its former director Mr. Traian Ivanov, the Ministry of Health set up and accepted to subsidize a new medical magazine that was to be published only in the English language and had to reflect the status and the achievements of the Bulgarian medical science. Thus the language barrier was overcome and stable relations were established with the international medical society, large libraries, and university centers. The famous internationally known scientist professor Assen A. Hadjiolov was elected edition-in-chief by the first editorial staff and the magazine was named Acta Medica Bulgarica.
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