Management of embolic splenic abscess secondary to aortic valve endocarditis - case report and review of literature

被引:0
作者
Nunez-Ordonez, Nicolas [1 ,2 ]
Luna, Juan Sebastian [3 ]
Mackenzie, Jaime Camacho [4 ]
Jimenez, Andres Felipe [1 ,2 ]
Gonzalez, Alejandro [5 ]
Pico, Andrea J. [3 ]
Roman, Carlos F. [5 ]
Rivera, Paulo A. Cabrera [5 ]
Hincapie, Carlos A. Villa [1 ]
机构
[1] Fdn Cardioinfantil LaCardio, Cardiovasc Surg Dept, Bogota, Colombia
[2] Univ Rosario, Bogota, Colombia
[3] Univ Sabana, Bogota, Colombia
[4] Fdn Cardioinfantil LaCardio, Cardiovasc Surg Dept, Bogota, Colombia
[5] Fdn Cardioinfantil LaCardio, Gen Surg Dept, Bogota, Colombia
关键词
Endocarditis; Splenic abscess; Laparoscopic splenectomy; INFECTIVE ENDOCARDITIS; SPLENECTOMY; REPLACEMENT;
D O I
10.1186/s13019-024-02727-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background Splenic abscess is a serious complication associated with infective endocarditis. There is still contradicting evidence regarding the optimal treatment pathway including timing of valve intervention and the approach for managing splenic foci.Case presentation We present a case of a hybrid staged approach in which we successfully performed a laparoscopic splenectomy following percutaneous abscess drainage and a delayed aortic valve replacement.Conclusions A multidisciplinary teamwork is fundamental in providing optimal care for patients with distant complications associated with infective endocarditis. Our hybrid approach seems safe and feasible.
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页数:8
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