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DOI: 10.1055/a-1750-9362
Komplette Okklusion der Arteria radialis durch einen kardiogenen Embolus bei infektiöser Endokarditis
Complete Occlusion of the radial Artery by a cardiogenic Embolus in infective Endocarditis
Zusammenfassung
Wir präsentieren den Fall einer septischen Thrombosierung der rechtsseitigen Arteria radialis durch einen kardiogenen Embolus auf Grundlager einer infektiösen Endokarditis. Nach initialem Verdacht einer beugeseitigen Unterarmphlegmone bei bestehender Tenosynovitis zeigte sich intraoperativ eine langstreckige Thrombosierung der Arteria radialis. Wir führten die Resektion des thrombosierten Gefäßabschnittes sowie die Rekonstruktion mittels Veneninterponat durch. Im Rahmen der Fokussuche fanden sich echokardiografisch Vegetationen am vorderen Mitralklappensegel. Im Zuge dessen erfolgte die operative Mitralklappensegelrekonstruktion mittels Mitralklappenanuloplastik.
Abstract
We present a case of septic embolization of the right radial artery by a cardiogenic embolus resulting from infective endocarditis. After the first suspicion of a palmar forearm phlegmon due to tenosynovitis was voiced, surgery revealed a long-segment occlusion of the radial artery. We resected the thrombosed part of the artery and reconstructed the latter with a vein interposition graft. Further diagnostic evaluation by echocardiography revealed vegetations on the anterior mitral leaflet. Reconstruction of the mitral valve was performed by annuloplasty.
Publication History
Received: 14 January 2021
Accepted: 21 December 2021
Article published online:
13 April 2022
© 2022. Thieme. All rights reserved.
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