경피적 승모판 풍선성형술을 시행한 환자에 나타난 감염성 심내막염 1예
Infective Endocarditis in a Patient after Percutaneous Mitral Balloon Valvuloplasty
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초록
경피적 승모판 풍선성형술은 적응증에 해당할 경우 수술을 대신할 수 있는 승모판 협착의 치료로 시행되고 있다. 경피적 승모판 풍선성형술 이후 합병증으로 감염성 심내막염이 보고된 사례는 국내에 없다. 저자들은 경피적 승모판 성형술을 시행한 승모판 협착증 환자에서 시술 1년 후에 나타난 감염성 심내막염을 경험하였기에 문헌고찰과 함께 보고하는 바이다. 경피적 승모판 성형술시 발생하는 승모판 파열과 이완 작용이 감염성 심내막염의 병태생리에 미칠 수 있는 영향과, 이를 반영하여 고위험 시술시 예방적 항생제 투여 대상 선정에 대한 고찰이 필요할 것이다.
Abstract
Percutaneous mitral balloon valvuloplasty (PMBV) is the treatment of choice for mitral stenosis. Only a few reported cases have been reported in PMBV patients worldwide. In this study, a case of a 34 year-old female with infective endocarditis a year after PMBV is presented. The patient presented with fever, and peripheral vascular symptoms. Transthoracic echocardiography showed vegetation on the anterior mitral leaflets and Staphylococcus Viridans was isolated from blood cultures. The patient was successfully treated with Amoxicillin + Clavulate and Gentamicin. Further studies on the correlation between PMBV and infective endocarditis are needed.
참고문헌 (10)
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