亚急性三尖瓣和起搏器心内膜炎合并慢性血栓栓塞性肺动脉高压患者的治疗：病例报告

Q3 Medicine

Russian Journal of Cardiology Pub Date : 2023-12-29 DOI:10.15829/1560-4071-2023-5501

N. Chumachenko, N. Kizhvatova, E. Kosmacheva, Z. Tatarintseva

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引用次数: 0

摘要

本病例报告成功治疗了一名患有三尖瓣亚急性感染性心内膜炎和心脏起搏器以及慢性血栓栓塞性肺动脉高压的 33 岁患者。治疗分为以下几个阶段：1）药物治疗--抗菌药物、心力衰竭治疗、肺动脉高压治疗；2）介入治疗--三尖瓣置换术及心腔消毒、起搏器拆卸、心内膜导联从右心移除、植入带心外膜导联系统的起搏器；3）延迟球囊肺血管成形术。

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Management of a patient with subacute tricuspid valve and pacemaker endocarditis with chronic thromboembolic pulmonary hypertension: a case report

A case report is devoted to the successful management of a 33-year-old patient with subacute infective endocarditis of the tricuspid valve and pacemaker, as well as chronic thromboembolic pulmonary hypertension. There were following therapy stages: 1) pharmacotherapy — antimicrobial agents, treatment of heart failure, pulmonary hypertension; 2) an interventional approach — tricuspid valve replacement with chamber sanitation, pacemaker explantation, endocardial lead removal from the right heart, implantation of a pacemaker with an epicardial lead system and 3) delayed balloon pulmonary angioplasty.

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来源期刊

Russian Journal of Cardiology Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

185

审稿时长

1 months

期刊介绍： Russian Journal of Cardiology has been issued since 1996. The language of this publication is Russian, with tables of contents and abstracts of all articles presented in English as well. Editor-in-Chief: Prof. Eugene V.Shlyakhto, President of the Russian Society of Cardiology. The aim of the journal is both scientific and practical, also with referring to organizing matters of the Society. The best of all cardiologic research in Russia is submitted to the Journal. Moreover, it contains useful tips and clinical examples for practicing cardiologists. Journal is peer-reviewed, with multi-stage editing. The editorial board is presented by the leading cardiologists from different cities of Russia.