Vacuum-assisted right atrial infected clot extraction due to persistent bacteraemia: a percutaneous approach for the management of right-sided endocarditis
| Autor: | Jaime Hernandez Montford, Mashrafi Ahmed, Evan Lau |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Methicillin-Resistant Staphylococcus aureus
medicine.medical_specialty Heart Diseases Vacuum medicine.medical_treatment Cardiomyopathy Bacteremia 030204 cardiovascular system & hematology Right atrial 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Humans Thrombectomy Interventional cardiology Septic shock business.industry Right sided endocarditis Correction Thrombosis General Medicine Endocarditis Bacterial Percutaneous approach Middle Aged Staphylococcal Infections medicine.disease Implantable cardioverter-defibrillator Shock Septic Surgery Anti-Bacterial Agents medicine.anatomical_structure Female business Interatrial septum |
| Zdroj: | BMJ case reports. 2018 |
| ISSN: | 1757-790X |
| Popis: | A 56-year-old woman with non-ischaemic cardiomyopathy with implantable cardioverter defibrillator (ICD) presented to the hospital with progressive dyspnoea of 4 weeks’ duration. She soon spiralled down to develop septic shock with methicillin-sensitive Staphylococcus aureus bacteraemia. A transoesophageal echocardiogram revealed a 2.4×2.1 cm large mobile echodensity in the right atrium likely attached to the ICD lead and to the interatrial septum. Although the ICD along with its leads was extracted, bacteraemia persisted despite appropriate antibiotic therapy. Because of her worsening condition, she underwent a right atrial infected clot extraction by the AngioVac system. Her clinical condition noticeably improved soon after evacuation of the infected clot. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|