中山醫學大學機構典藏 CSMUIR:Item 310902500/20493
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    题名: Subaortic-Right Atrial Fistula after Endocarditis in Hypertrophic Cardiomyopathy
    作者: Sia, Sung-Kien
    Wu, Yi-Liang
    Wu, Der-Jinn
    Lin, Ming-Cheng
    Ueng, Kwo-Chang
    贡献者: 中山醫學大學醫學系
    关键词: Aortic valve replacement;Endocarditis;Hypertrophic obstructive cardiomyopathy;Subaortic-right atrial fistula
    日期: 2013-07
    上传时间: 2019-11-28T04:05:28Z (UTC)
    出版者: 中華民國心臟學會
    ISSN: 1011-6842
    摘要: Infective endocarditis in hypertrophic obstructive cardiomyopathy is rare. Management of this disease is challenging due to the unique features of dynamic pressure gradient over the left ventricular outflow tract and its unpredictable interaction with the management of sepsis. The added complexity of infective endocarditis further complicates an already difficult situation.

    A 72-year-old man with hypertrophic obstructive cardiomyopathy presented with acute stroke, fever, and Staphylococcus aureus bacteremia. Infective endocarditis of the aortic valve was confirmed. Despite treatment with antibiotics and aortic valve replacement, the patient had recurrent bacteremia and developed a periannular abscess and a subaortic-right atrial fistula, with a resulting fatal outcome.
    URI: https://ir.csmu.edu.tw:8080/ir/handle/310902500/20493
    關聯: Acta Cardiologica Sinica, vol. 29, issue 4, 366-369
    显示于类别:[醫學系] 期刊論文

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