Gregory Shawn A, Yepes Cesar B, Byrne John G, D'Ambra Michael N, Chen Ming Hui
Cardiology Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA.
Echocardiography. 2005 May;22(5):426-30. doi: 10.1111/j.1540-8175.2005.04071.x.
The jet lesions of valvular regurgitation or intracardiac shunts have been hypothesized to play an important role in the pathogenesis of endocarditis for many years. We describe a case of mitral valve endocarditis that involved the left atrium along the path of a jet lesion. This resulted in atrial endocarditis and pericarditis, both of which complicated her presentation and hospital course. Using transesophageal echocardiography, we were able to directly visualize the path and full extent of infection prior to surgery. Special attention should be focused upon the path of eccentric jets in order to fully define the extent of endocarditis.
多年来，人们一直假设瓣膜反流或心内分流的喷射性病变在感染性心内膜炎的发病机制中起重要作用。我们描述了一例二尖瓣心内膜炎病例，该病例沿着喷射性病变的路径累及左心房。这导致了心房心内膜炎和心包炎，两者均使她的病情和住院过程复杂化。通过经食管超声心动图，我们能够在手术前直接观察到感染的路径和全部范围。应特别关注偏心喷射的路径，以便全面确定心内膜炎的范围。
