Hachiro Yoshikazu, Harada Hideyuki, Baba Toshio, Honma Yukiko, Miyajima Masahiro, Abe Tomio
Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kushiro Hospital, Kushiro, Japan.
Surg Today. 2004;34(8):695-7. doi: 10.1007/s00595-004-2781-x.
A rare case of native valve endocarditis affecting both the normal mitral and tricuspid valves is presented. A 25-year-old woman with an acute ischemic stroke was found to have vegetation secondary to infective endocarditis as the embolic source. One month after the onset of embolic cerebrovascular intervention, a valve repair with the implantation of artificial chordae, sliding commissuroplasty, and ring annuloplasty resulted in a complete recovery.
本文报道了一例罕见的原发性瓣膜性心内膜炎,累及正常的二尖瓣和三尖瓣。一名25岁急性缺血性脑卒中女性患者被发现有感染性心内膜炎继发的赘生物作为栓子来源。在栓塞性脑血管介入治疗开始后一个月,进行了瓣膜修复术,植入人工腱索、滑动交界成形术和瓣环成形术,患者完全康复。