Infective endocarditis of the aortic valve in a recipient of an orthotopic heart transplant. A case report

Мұқаба

Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Background. Infective endocarditis (IE) is one of the most severe diseases, which is attributable to the features of its pathogenesis, in particular the addition of immune complex damage to tissues and organs, which produces a variety of extracardiac symptoms. In-hospital mortality with drug treatment reaches 80%, with surgical treatment – 30%, and in the absence of treatment, mortality is 100%. In modern conditions, diagnosis and treatment of IE is a pressing problem in cardiology and cardiac surgery for many reasons, including an increase in morbidity, mainly due to primary endocarditis.

Description of the clinical case. In the presented clinical case, IE developed in a 49-year-old recipient of an orthotopic heart transplant 34 weeks after the operation. The clinical characteristics of the disease, the dynamics of instrumental and laboratory data are presented.

Conclusion. The presented clinical observation demonstrates the need for alertness of physicians of many specialties regarding the possibility of developing IE in the transplanted heart. The outcomes of IE in recipients with orthotopic heart transplantation may be similar compared to the general population, but patient survival is lower.

Толық мәтін

Рұқсат жабық

Авторлар туралы

N. Kuleshevskaya

Aleksandro-Mariinsky Regional Clinical Hospital

Email: fduecn-2010@mail.ru
ORCID iD: 0009-0007-7255-5290
Ресей, Astrakhan

O. Tsverkunova

Aleksandro-Mariinsky Regional Clinical Hospital

Email: fduecn-2010@mail.ru
ORCID iD: 0000-0002-0964-7252
Ресей, Astrakhan

A. Antonova

Astrakhan State Medical University

Хат алмасуға жауапты Автор.
Email: fduecn-2010@mail.ru
ORCID iD: 0000-0003-2581-0408

Cand. Sci. (Med.), Associate Professor

Ресей, Astrakhan

T. Uklistaya

Astrakhan State Medical University

Email: fduecn-2010@mail.ru
ORCID iD: 0009-0005-5477-1913
Ресей, Astrakhan

S. Yusupova

Aleksandro-Mariinsky Regional Clinical Hospital

Email: fduecn-2010@mail.ru
ORCID iD: 0009-0003-9816-1426
Ресей, Astrakhan

T. Serdyukova

Astrakhan State Medical University

Email: fduecn-2010@mail.ru
ORCID iD: 0000-0003-0842-0336
Ресей, Astrakhan

N. Petrova

Astrakhan State Medical University

Email: fduecn-2010@mail.ru
ORCID iD: 0009-0007-2562-8936
Ресей, Astrakhan

G. Yamanova

Volgograd State Medical University

Email: fduecn-2010@mail.ru
ORCID iD: 0000-0003-2362-8979
Ресей, Volgograd

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Әрекет
1. JATS XML
2. Fig. EchoCG of patient M. from 11/27/2023

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