心内针状异物导致的三尖瓣关闭不全。

Tricuspid valve incompetence caused by an intracardiac needle-like foreign body.

作者信息

Kobayashi Toshiro, Hayashi Kenji, Sakata Kensuke, Kobayashi Yurio

机构信息

Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Yamaguchi, Japan.

出版信息

Ann Thorac Surg. 2005 Jul;80(1):322-4. doi: 10.1016/j.athoracsur.2004.01.047.

DOI:10.1016/j.athoracsur.2004.01.047

PMID:15975395

Abstract

We report a rare case of tricuspid valve incompetence caused by a needle-like foreign body with an unknown route of invasion. A 55-year-old woman who had suffered from chronic heart failure for more than 25 years was diagnosed as having Ebstein's anomaly after a transthoracic echocardiogram with Doppler imaging showed severe tricuspid regurgitation and displacement of the septal leaflet toward the right ventricle inlet. Surgery revealed a foreign body attached to the tricuspid valve, causing regurgitation. Valve replacement was performed and the patient's condition improved remarkably thereafter.

摘要

我们报告了一例罕见的由针状异物导致的三尖瓣关闭不全病例，异物侵入途径不明。一名患有慢性心力衰竭超过25年的55岁女性，经胸超声心动图及多普勒成像显示严重三尖瓣反流和隔叶向右心室入口移位后，被诊断为埃布斯坦畸形。手术发现一个异物附着在三尖瓣上，导致反流。进行了瓣膜置换，此后患者病情显著改善。