经皮卵圆孔未闭器心内膜炎

Q4 Medicine

JACC. Case reports Pub Date : 2025-10-01 DOI:10.1016/j.jaccas.2025.105314

Stefan Milutinovic MD , Berniece Johnson MD , Claudiu Ciuciureanu MD , David C. Cervantes MD, PhD , Kamaldeep Singh MD

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引用次数: 0

摘要

卵圆孔未闭闭塞器心内膜炎的超声心动图。病例总结：58岁男性，既往隐源性卒中，表现为发热和左髋关节疼痛。血液和吸入培养均为耐甲氧西林金黄色葡萄球菌阳性。经食管超声心动图显示该装置位于房间隔中部，伴有左、右心房赘生物。闭塞装置的心内膜炎是众所周知的，但罕见的现象发生在植入数周内，提示不完全内皮化与微生物播种之间的时间关系。在器械植入后的前6个月，预防心内膜炎一直被随意推荐。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Percutaneous Patent Foramen Ovale Closure Device Endocarditis

Image

Echocardiographic imaging of patent foramen ovale occlusion device endocarditis.

Case Summary

A 58-year-old man with prior cryptogenic stroke presented with fever and left hip pain. Blood and aspiration cultures were positive for methicillin-resistant Staphylococcus aureus. He underwent transesophageal echocardiography, which showed the device in the mid intra-atrial septum with left and right atrial side vegetations.

Discussion

Endocarditis of occluding devices is well known, but rare phenomenon occurring within weeks of implantation, suggesting a temporal relationship between incomplete endothelialization and microbial seeding. Endocarditis prophylaxis has been arbitrary recommended for the first 6 months after device implantation.

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