Ранняя контрастная многосрезовая компьютерная томографическая диагностика септической эмболии легочной артерии и случай успешного хирургического лечения

Abstract

The review presents a rare clinical case of right-sided infective endocarditis (IE), a variant of early diagnosis using contrast-enhanced multispiral computed tomography (CE-MSCT), and successful surgical treatment for septic pulmonary embolism and right-sided IE. The clinical manifestation of the disease lasted about 3 weeks. The diagnosis was established according to the results of an emergency complex CE-MSCT study. At 4 hours after the patient went to the clinic, a combined operation (removal of part of the venous port and thrombectomy from the left pulmonary branch) was successfully performed. There was a complete coincidence of CE-MSCT study data and intraoperative results; staphylococcal septic focus was confirmed in a laboratory. The total length of stay in hospital was 9 days; that of full performance restoration was 3 weeks. The presented case has proven that the CE-MSCT may be the only sufficient technique for detecting septic pulmonary embolism and deciding in favor of surgical treatment, eliminating the need for a different kind of instrumental diagnosis, which significantly reduces the time of diagnosis.