Howard J Harrison, Litovsky Silvio H, Tallaj Jose A, Liu Xiuli, Holman William L
Departments of Surgery, Birmingham Veterans Administration Medical Center, University of Alabama at Birmingham, Birmingham, AL 35294-0007, USA.
J Heart Valve Dis. 2007 Mar;16(2):159-61.
Reiter's syndrome is characterized by multiple joint arthropathy, and can affect the heart. One manifestation of cardiac involvement is aortic insufficiency that may require valve replacement. Herein is reported a case with rapidly progressive and severe calcification of a bovine pericardial prosthesis seven years after implantation, in the setting of Reiter's syndrome. Based on this experience, it is suggested that echocardiographic evaluations be scheduled more frequently than usual if a bioprosthetic rather than mechanical valve is chosen for a patient with Reiter's syndrome.
赖特综合征的特征为多关节病，且可累及心脏。心脏受累的一种表现是主动脉瓣关闭不全，可能需要进行瓣膜置换。本文报道了1例赖特综合征患者，其植入牛心包人工瓣膜7年后出现人工瓣膜快速进展性重度钙化。基于这一经验，建议对于选择生物瓣膜而非机械瓣膜的赖特综合征患者，应比常规安排更频繁地进行超声心动图评估。
