1. Endocarditis tardía en un portador de un Amplatzer. Manejo conservador en un paciente pediátrico
- Author
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Miguel Angel Matamala Morillo, Moisés Rodríguez González, Antonio Segado Arenas, and Zaira Belmonte Pintre
- Subjects
medicine.medical_specialty ,Endocarditis ,Conservative management ,business.industry ,Amplatzer ,Conventional surgery ,Late onset ,Septal Occluder Device ,Septal occluder device ,medicine.disease ,Dispositivo oclusor septal ,Intracardiac injection ,Surgery ,Tratamiento conservador ,Pediatric patient ,Pediatrics, Perinatology and Child Health ,Medicine ,business ,Conservative treatment ,Pediatric cardiology - Abstract
Desde su aparición, las técnicas percutáneas han ido sustituyendo la cirugía convencional como tratamiento de primera línea en los defectos septales interauriculares. Los dispositivos Amplatzer fueron los primeros aprobados por la Food and Drug Administration, y su colocación se ha convertido en un procedimiento habitual en cardiología pediátrica. La aparición de endocarditis bacteriana sobre este tipo de dispositivos es muy infrecuente. Se presenta el caso de una endocarditis bacteriana en un paciente pediátrico portador de un dispositivo Amplatzer, que se manejó de forma conservadora con antibioterapia intravenosa, con evolución satisfactoria. Since their introduction, percutaneous techniques have been replacing conventional surgery as a first-line treatment for septal defects. Amplatzer devices were the first to be approved by the Food and Drug Administration, and their placement has become a standard procedure in pediatric cardiology. Bacterial endocarditis of intracardiac devices such as the Amplatzer septal occluder is very infrequent. We report a case of bacterial endocarditis in a pediatric patient with an Amplatzer device, who developed an infectious endocarditis six years after its placement and received conservative management with intravenous antibiotics, with satisfactory evolution.
- Published
- 2019