Okada Syuichi, Kaneko T, Ezure M, Satoh Y, Hasegawa Y, Oki S, Okonogi S, Takihara H
Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
Kyobu Geka. 2008 Mar;61(3):238-41.
A 74-year-old man had pustulant bilateral arthritis complicated with sepsis and disseminated intravascular coagulation (DIC). Microbiologic study of blood sample showed Streptococcus and methicillin resistant Staphylococcus aureus (MRSA). He was complicated with postulant diskitis since then. Medical treatment for DIC and administration of antibiotics were performed. Preoperative echocardiography revealed massive aortic regurgitation and vegetation of aortic valve, moderate pulmonary regurgitation and vegetation of pulmonary valve, massive mitral regurgitation, massive tricuspid regurgitation. He was diagnosed as infective quadruple valve endocarditis. He received aortic valve replacement, pulmonary valve replacement, mitral valve repair and tricuspid valve repair. Postoperative echocardiography showed satisfactory function of bioprosthesis. Postoperative course was uneventful.
一名74岁男性患有脓疱性双侧关节炎，并发败血症和弥散性血管内凝血（DIC）。血液样本的微生物学研究显示有链球菌和耐甲氧西林金黄色葡萄球菌（MRSA）。此后他又并发了感染性椎间盘炎。对DIC进行了药物治疗并使用了抗生素。术前超声心动图显示有大量主动脉瓣反流和主动脉瓣赘生物、中度肺动脉瓣反流和肺动脉瓣赘生物、大量二尖瓣反流、大量三尖瓣反流。他被诊断为感染性四联瓣膜心内膜炎。他接受了主动脉瓣置换、肺动脉瓣置换、二尖瓣修复和三尖瓣修复。术后超声心动图显示生物假体功能良好。术后病程顺利。
