Gullu Ahmet Umit, Akcar Murat, Arnaz Ahmet, Kizilay Mehmet
Siyami Ersek Thoracic and Cardiovascular Surgery Center, Mutevelli Heyet Cad., Murat Sitesi. S Blok., D:13 34662 Kosuyolu/Istanbul, Turkey.
Interact Cardiovasc Thorac Surg. 2008 May;7(3):513-4. doi: 10.1510/icvts.2007.173435. Epub 2008 Feb 22.
In non-addicted patients, several states such as alcoholism, previous valvular heart disease or prosthetic valve replacement, immunodeficiency states, prolonged intravenous hyperalimentation, permanent pacemakers, and some congenital heart diseases can provide the predisposing factors for tricuspid valve endocarditis. It is an extremely rare occurrence in patients with normal native cardiac valves. In this report, we present a case of a 67-year-old woman with tricuspid native valve endocarditis related to Candida parapsilosis which is a very rare cause of infective endocarditis and carries a high mortality risk. An operation was indicated for the patient due to persistent enlarging vegetation on tricuspid valve, severe tricuspid regurgitation, septic pulmonary emboli and finally uncompensated respiratory and heart failure. She underwent tricuspid valve replacement with bioprothesis three years ago and now she is in a satisfactory condition without any medical treatment.
在非成瘾患者中，诸如酗酒、既往瓣膜性心脏病或人工瓣膜置换、免疫缺陷状态、长期静脉高营养、永久性起搏器以及某些先天性心脏病等几种情况可成为三尖瓣心内膜炎的易感因素。在具有正常天然心脏瓣膜的患者中，这种情况极为罕见。在本报告中，我们呈现了一例67岁女性患有近平滑念珠菌所致的天然三尖瓣心内膜炎的病例，近平滑念珠菌是感染性心内膜炎非常罕见的病因，且具有高死亡风险。由于三尖瓣上的赘生物持续增大、严重三尖瓣反流、脓毒性肺栓塞以及最终失代偿的呼吸和心力衰竭，该患者需要接受手术治疗。她三年前接受了生物人工瓣膜置换术，目前状况良好，无需任何药物治疗。
