аЯрЁБс>ўџ /1ўџџџ.џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС@№П6bjbjюFюF.Œ,Œ,џџџџџџˆ6666666J  JыЖ22222222RTTTTTT$ЁRѓаx-622222x6622Ѕ2L6262R2R662& а LТ­gЦ~|6Л0ыУњ УJJ6666У6(2222222xxJJФ JJINFECTIVE ENDOCARDITIS OF AORTIC VALVE DURING PREGNANCY: A CASE REPORT (Vincelj J1, Sutli }2, Pevec D1, Kati T1, Romi A3, Vrbica }3) 1Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb 2Department of Cardiac Surgery, University Hospital Dubrava, Zagreb 3Department of Internal Medicine, General Hospital Dubrovnik Background: Infective endocardtitis in pregnancy is associated with high maternal and fetal mortality risk. Early recognition and treatment , either conservative or surgical is therefore of vital importance. Case report: A 31-year-old woman during the eight month of her second pregnancy was addmitted with clinical signs of high fever, chest pain, weakness, dyspnoea and pain in the right leg with weaker peripheral pulses. Transthoracic echocardiography showed aortic valve vegetation and severe aortic regurgitation. Transesophageal echocardiography revealed a large, mobile vegetation, 18x6 mm attached to the right coronary cusp. Right superficial femoral artery occlusion was detected by Doppler echosonography. Emergency Cesarean section followed with a delivery of a healty baby. Cardiopulmonary bypass with subsequent aortic replacement with bioprothesis was initiated immediately after cesarean section. Early echocardigraphic examination and six months after surgery revealed normal function of aortic valve bioprosthesis and normal LV function. In our case both the maternal nad fetus risk was very high. The risk can be reduced by early diagnosis and immediately intervention. Conclusion: in our case we showed that early recognition of infective endocarditis in pregnancy with echocardiographic methods (transthoracic and transesophageal echocardiography) is important for survival and early treatment (cons.Nr~’”ЂІЈМОТЬаврфцєјњ      Ў А   X Y d * 6 Ж е l n  фщ456љѕёъёљѕљѕхѕхѕљѕхљѕхљѕхѕљѕёхѕхѕхѕхѕожљжљвљѕљЪљѕёШѕљѕUh{[ih Q5h PhZ%h Q5 h˜M™h Q h QH* hZ%hв`hв`h Q hZ%h Q3€’ Ў  X Y ) * |56њѕѕѕp#Ќѕѕp#Ќѕp#Ќѕp#Ќѕp#Ќѕ p#Ќѕp#Ќѕp#Ќѕѓgd Qgdв`6ўervative as also surgical) of mother and the fetus. ,1hА‚. АЦA!А‰"А‰#‰$‰%ААФАФ Фœ@@ёџ@  QNormalCJ_HaJmHsHtH>A@ђџЁ> Zadani font odlomkaVi@ѓџГV Obi na tablicaі4ж l4жaі .k@єџС. Bez popisaџџџџ@I‹зXY)*|!˜0€€0˜0€€x˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€66 6 8@HH‡ˆеешщ!?AHIŠ‹жзWY(*{|!!!хв` P QM_ЧIз!џ@€|ђš››(щ@@@@0@џџUnknownџџџџџџџџџџџџGю‡z €џTimes New Roman5€Symbol3&ю ‡z €џArial"1ˆ№ФЉ(ФЄ&-ФЄ&  !№‰‰ДДr43ƒ№H)№џ?тџџџџџџџџџџџџџџџџџџџџџ QџџIINFECTIVE ENDOCARDITIS OF AORTIC VALVE DURING PREGNANCY: REPORT OF A CASEtest2test2ўџр…ŸђљOhЋ‘+'Гй0А˜ьј 4 DP l x „˜ ЈтJINFECTIVE ENDOCARDITIS OF AORTIC VALVE DURING PREGNANCY: REPORT OF A CASERNFEtest2IVestest Normal.dotNtest2.d3stMicrosoft Word 10.0@вIk@ зіЌgЦ@ўЇЉ­gЦўџеЭеœ.“—+,љЎ04 hp|„Œ” œЄЌД М тKBD т JINFECTIVE ENDOCARDITIS OF AORTIC VALVE DURING PREGNANCY: REPORT OF A CASE Naslov ўџџџўџџџўџџџ !"#$%ўџџџ'()*+,-ўџџџ§џџџ0ўџџџўџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџ РFАXТ­gЦ2€Data џџџџџџџџџџџџ1TableџџџџWordDocumentџџџџ.SummaryInformation(џџџџџџџџџџџџDocumentSummaryInformation8џџџџџџџџ&CompObjџџџџџџџџџџџџkџџџџџџџџџџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџўџ џџџџ РFDokument Microsoft Worda MSWordDocWord.Document.8є9Вq