Dev mitral kapak vejetasyonu

Elif Tükenmez Tigen; Huseyin Bilgin; Beste Ozben; Kursat Tigen; Buket Ertürk Sengel

doi:10.5472/MMJ.2014.03351.2

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Yıl 2014, Cilt: 27 Sayı: 3, 213 - 215, 30.03.2015

Elif Tükenmez Tigen Huseyin Bilgin Beste Ozben Kursat Tigen Buket Ertürk Sengel

https://doi.org/10.5472/MMJ.2014.03351.2

Öz

We present a case of giant mitral valve vegetation in a 66-year-old woman whose clinical status deteriorated rapidly without allowing time for surgery. She died due to a septic embolism and multiorgan failure. Our aim is to stress that the risk of embolic complications is high in cases of large vegetations. The mortality rates are high and these patients should be managed immediately

Anahtar Kelimeler

Giant vegetation, Infective endocarditis, Septic embolism

Kaynakça

1. Van der Meer JT, Thompson J, Valkenburg HA, et al. Epidemiology of bacterial endocarditis in The Netherlands. I. Patient characteristics. Arch Intern Med 1992;152:1863-8. doi:10.1001/archinte.1992. 00400210087014.
2. Evangelista A, Gonzalez-Alujas MT. Echocardiography in infective endocarditis. Heart 2004;90:614–7. doi: 10.1136/ hrt.2003.029868
3. Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service. Am J Med 1994; 96:200-9.
4. Fournier PE, Casalta JP, Habib G, Messana T, Raoult D. Modification of the diagnostic criteria proposed by the Duke Endocarditis Service to permit improved diagnosis of Q fever endocarditis. Am J Med 1996;100:629-33.
5. Li JS, Sexton DJ, Mick N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis 2000;30:633-38.
6. San Roman JA, Lopez J, Vilacosta I, et al. Prognostic stratification of patients with left-sided endocarditis determined at admission. Am J Med 2007;120:369.e1–e7. http://dx.doi.org/10.1016/j.amjmed.2006.05.071
7. Revilla A, Lopez J, Vilacosta I, et al. Clinical and prognostic profile of patients with infective endocarditis who need urgent surgery. Eur Heart J 2007;28:65–71. doi:10.1093/ eurheartj/ehl315
8. Hoen B, Alla F, Selton-Suty C, et al. Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA 2002;288:75–81. doi:10.1001/jama.288.1.75.
9. De Castro S, Magni G, Beni S, et al. Role of transthoracic and transesophageal echocardiography in predicting embolic events in patients with active infective endocarditis involving native cardiac valves. Am J Cardiol 1997;80:1030–4 http:// dx.doi.org/10.1016/S0002-9149(97)00598-5
10. Tischler MD, Vaitkus PT. The ability of vegetation size on echocardiography to predict clinical complications: a metaanalysis. J Am Soc Echocardiogr 1997;10:562–8. doi: 10.1016/S0894-7317(97)70011-7
11. Cunha BA, Gill MV, Lazar JM. Acute infectious endocarditis: diagnostic and therapeutic approach. Infect Dis Clin North Am 1996;10:811–34 doi:10.1016/S0891-5520(05)70328-7
12. Mugge A, Daniel WG. Echocardiographic assessment of vegetations in patients with infective endocarditis: prognostic implications. Echocardiography. 1995;12:651–61
13. Dunne B, Marr T, Kim D et al. Infective endocarditis. Heart Lung Circ 2014 ;23:628-35. doi: 10.1016/j.hlc.2014.02.010.
14. Costa MA, Wollmann DR Jr, Campos AC, et al. Risk index for death by infective endocarditis: a multivariate logistic model. Braz J Cardiovasc Surg 2007; 22: 192-200. doi:10.1590/S0102-76382007000200007

Dev mitral kapak vejetasyonu

Yıl 2014, Cilt: 27 Sayı: 3, 213 - 215, 30.03.2015

Elif Tükenmez Tigen Huseyin Bilgin Beste Ozben Kursat Tigen Buket Ertürk Sengel

https://doi.org/10.5472/MMJ.2014.03351.2

Öz

Biz burada klinik durumu cerrahi müdahaleye fırsat vermeden kötüleşen ve septik emboli ve çoklu organ yetmezliğine bağlı ölen 66 yaşında mitral kapakta dev vejetasyonu olan bayan hastayı sunuyoruz. Amacımız büyük vejetasyonları olan vakalarda embolik komplikasyon riskinin ve mortalite oranlarının yüksek olduğunu, çok hızlı müdahale edilmesi gerektiğini vurgulamaktır.

Anahtar Kelimeler

Dev vejetasyon, Enfektif endokardit, Septik emboli

Kaynakça

1. Van der Meer JT, Thompson J, Valkenburg HA, et al. Epidemiology of bacterial endocarditis in The Netherlands. I. Patient characteristics. Arch Intern Med 1992;152:1863-8. doi:10.1001/archinte.1992. 00400210087014.
2. Evangelista A, Gonzalez-Alujas MT. Echocardiography in infective endocarditis. Heart 2004;90:614–7. doi: 10.1136/ hrt.2003.029868
3. Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service. Am J Med 1994; 96:200-9.
4. Fournier PE, Casalta JP, Habib G, Messana T, Raoult D. Modification of the diagnostic criteria proposed by the Duke Endocarditis Service to permit improved diagnosis of Q fever endocarditis. Am J Med 1996;100:629-33.
5. Li JS, Sexton DJ, Mick N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis 2000;30:633-38.
6. San Roman JA, Lopez J, Vilacosta I, et al. Prognostic stratification of patients with left-sided endocarditis determined at admission. Am J Med 2007;120:369.e1–e7. http://dx.doi.org/10.1016/j.amjmed.2006.05.071
7. Revilla A, Lopez J, Vilacosta I, et al. Clinical and prognostic profile of patients with infective endocarditis who need urgent surgery. Eur Heart J 2007;28:65–71. doi:10.1093/ eurheartj/ehl315
8. Hoen B, Alla F, Selton-Suty C, et al. Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA 2002;288:75–81. doi:10.1001/jama.288.1.75.
9. De Castro S, Magni G, Beni S, et al. Role of transthoracic and transesophageal echocardiography in predicting embolic events in patients with active infective endocarditis involving native cardiac valves. Am J Cardiol 1997;80:1030–4 http:// dx.doi.org/10.1016/S0002-9149(97)00598-5
10. Tischler MD, Vaitkus PT. The ability of vegetation size on echocardiography to predict clinical complications: a metaanalysis. J Am Soc Echocardiogr 1997;10:562–8. doi: 10.1016/S0894-7317(97)70011-7
11. Cunha BA, Gill MV, Lazar JM. Acute infectious endocarditis: diagnostic and therapeutic approach. Infect Dis Clin North Am 1996;10:811–34 doi:10.1016/S0891-5520(05)70328-7
12. Mugge A, Daniel WG. Echocardiographic assessment of vegetations in patients with infective endocarditis: prognostic implications. Echocardiography. 1995;12:651–61
13. Dunne B, Marr T, Kim D et al. Infective endocarditis. Heart Lung Circ 2014 ;23:628-35. doi: 10.1016/j.hlc.2014.02.010.
14. Costa MA, Wollmann DR Jr, Campos AC, et al. Risk index for death by infective endocarditis: a multivariate logistic model. Braz J Cardiovasc Surg 2007; 22: 192-200. doi:10.1590/S0102-76382007000200007

Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Bölüm	Olgu Sunumu
Yazarlar	Elif Tükenmez Tigen Bu kişi benim Huseyin Bilgin Bu kişi benim Beste Ozben Bu kişi benim Kursat Tigen Bu kişi benim Buket Ertürk Sengel Bu kişi benim
Yayımlanma Tarihi	30 Mart 2015
Yayımlandığı Sayı	Yıl 2014 Cilt: 27 Sayı: 3

Kaynak Göster

APA	Tükenmez Tigen, E., Bilgin, H., Ozben, B., Tigen, K., vd. (2015). Dev mitral kapak vejetasyonu. Marmara Medical Journal, 27(3), 213-215. https://doi.org/10.5472/MMJ.2014.03351.2
AMA	Tükenmez Tigen E, Bilgin H, Ozben B, Tigen K, Ertürk Sengel B. Dev mitral kapak vejetasyonu. Marmara Med J. Mart 2015;27(3):213-215. doi:10.5472/MMJ.2014.03351.2
Chicago	Tükenmez Tigen, Elif, Huseyin Bilgin, Beste Ozben, Kursat Tigen, ve Buket Ertürk Sengel. “Dev Mitral Kapak Vejetasyonu”. Marmara Medical Journal 27, sy. 3 (Mart 2015): 213-15. https://doi.org/10.5472/MMJ.2014.03351.2.
EndNote	Tükenmez Tigen E, Bilgin H, Ozben B, Tigen K, Ertürk Sengel B (01 Mart 2015) Dev mitral kapak vejetasyonu. Marmara Medical Journal 27 3 213–215.
IEEE	E. Tükenmez Tigen, H. Bilgin, B. Ozben, K. Tigen, ve B. Ertürk Sengel, “Dev mitral kapak vejetasyonu”, Marmara Med J, c. 27, sy. 3, ss. 213–215, 2015, doi: 10.5472/MMJ.2014.03351.2.
ISNAD	Tükenmez Tigen, Elif vd. “Dev Mitral Kapak Vejetasyonu”. Marmara Medical Journal 27/3 (Mart 2015), 213-215. https://doi.org/10.5472/MMJ.2014.03351.2.
JAMA	Tükenmez Tigen E, Bilgin H, Ozben B, Tigen K, Ertürk Sengel B. Dev mitral kapak vejetasyonu. Marmara Med J. 2015;27:213–215.
MLA	Tükenmez Tigen, Elif vd. “Dev Mitral Kapak Vejetasyonu”. Marmara Medical Journal, c. 27, sy. 3, 2015, ss. 213-5, doi:10.5472/MMJ.2014.03351.2.
Vancouver	Tükenmez Tigen E, Bilgin H, Ozben B, Tigen K, Ertürk Sengel B. Dev mitral kapak vejetasyonu. Marmara Med J. 2015;27(3):213-5.