Yoong J K C, Jaufeerally F R
Department of Internal Medicine, Singapore General Hospital, Outram Road, Singapore 169608.
Singapore Med J. 2004 Mar;45(3):127-9.
Although cardiac valve disease is frequent in the antiphospholipid syndrome, isolated tricuspid valve pathology is uncommon and tricuspid valve steno-insufficiency with concomitant vegetations in association with primary antiphospholipid syndrome has very rarely been mentioned in the literature. We describe a 54-year-old Indian woman with newly-diagnosed antiphospholipid syndrome and isolated tricuspid valve disease, the nature of which was only discernible by transoesophageal echocardiography. This case report highlights the importance of being aware of antiphospholipid syndrome as the possible underlying diagnosis in isolated organic tricuspid valve disease and the need for transoesophageal echocardiography in such cases.
尽管心脏瓣膜疾病在抗磷脂综合征中很常见，但孤立性三尖瓣病变并不常见，且原发性抗磷脂综合征伴三尖瓣狭窄关闭不全并伴有赘生物的情况在文献中很少被提及。我们描述了一名54岁新诊断为抗磷脂综合征且患有孤立性三尖瓣疾病的印度女性，其疾病性质仅通过经食管超声心动图才能明确。本病例报告强调了认识到抗磷脂综合征可能是孤立性器质性三尖瓣疾病潜在诊断的重要性，以及在此类病例中进行经食管超声心动图检查的必要性。
