Treatment of infective endocarditis complicated by peripheral embolism

S. Yücel, S. B. Deşer
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Abstract

Infective endocarditis still has high mortality and morbidity. Infective endocarditis usually affects the native valve and may lead to non-cardiac complications such as embolism, metastatic infection and septicemia due to the embolus of septic vegetations. Devel-opment of heart failure, systemic embolization, and perivalvular abscess are indications for emergency surgery. Complication rate of vegetations which are greater than 10 mm is more than 90% however, the complication rate of vegetations which are less than 10 mm is 48%. Medical treatment alone may not always be sufficient and may lead to more serious complications such as peripheral embolism. Here, we present a patient diagnosed with acute aortic valve infective endocarditis and left femoral artery embolism in the light of current literature.
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感染性心内膜炎合并外周栓塞的治疗
感染性心内膜炎仍然有很高的死亡率和发病率。感染性心内膜炎通常影响原生瓣膜,并可能导致非心脏并发症,如栓塞、转移性感染和败血症,这是由于败血性植物的栓塞。心衰、全身栓塞和瓣周脓肿的发展是紧急手术的指征。大于10 mm的植被并发症发生率大于90%,小于10 mm的植被并发症发生率为48%。单靠药物治疗可能并不总是足够的,并可能导致更严重的并发症,如外周栓塞。在这里,我们提出了一个病人诊断为急性主动脉瓣感染性心内膜炎和左股动脉栓塞。
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