经胸超声心动图漏诊主动脉环周脓肿1例。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-01-16 DOI:10.1002/ccr3.70114

Wenjuan He, Yudong Peng, Yan Yi, Han Hu, Jinzhi Lu, Keming Chen, Qingsong Zeng

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引用次数: 0

摘要

主动脉环周脓肿（PA）是感染性心内膜炎（IE）的重要后果。在我们的病例报告中，患者的临床症状只有发烧、咳嗽和呼吸短促。随后，他被诊断为主动脉PA，这在最初的TTE评估中被忽视，但后来通过经食管超声心动图（TEE）发现。患者立即接受手术，恢复良好。本病例强调TEE在揭示TTE可能遗漏的小而关键的心内病变方面的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Aortic Periannular Abscess Missed by Transthoracic Echocardiography: A Case Report

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Aortic Periannular Abscess Missed by Transthoracic Echocardiography: A Case Report

An aortic periannular abscess (PA) is a critical consequence of infective endocarditis (IE). In our case report, the patient's clinical symptoms were only fever, cough, and shortness of breath. He was then diagnosed with aortic PA, which was overlooked in the initial TTE assessment but later identified through transesophageal echocardiography (TEE). The patient underwent surgery immediately and recovered well. This case underscores the importance of TEE in revealing small, yet critical, intracardiac lesions that may be missed by TTE.

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).