Yamanaka K, Miki S, Kusuhara K, Ueda Y, Okita Y, Tahata T, Sasakabe H, Tamura T
Department of Cardiovascular Surgery, Tenri Hospital.
Kyobu Geka. 1991 Jul;44(7):573-5.
A 5-year-old girl presented infected tricuspid valve related to a residual ventricular septal defect. Antibiotic therapy produced a satisfactory initial improvement. However, subsequent deterioration with uncontrolled infection, in spite of alterations of the antibiotic regime, necessitated surgical intervention. Because the lesion was localized to the anterior leaflet of the tricuspid valve, partial excision of this leaflet and patch was undergone with a sustained clinical improvement with minimum residual valvular incompetence. This experience supports the concept that tricuspid valvuloplasty is the method of choice in the treatment of patient with regional right-sided infective endocarditis.
一名5岁女孩因残余室间隔缺损出现感染性三尖瓣病变。抗生素治疗初期取得了令人满意的改善。然而，尽管调整了抗生素治疗方案，但随后感染仍无法控制并出现病情恶化，因此需要进行手术干预。由于病变局限于三尖瓣前叶，遂对该叶进行部分切除并修补，术后临床症状持续改善，残余瓣膜关闭不全程度降至最低。这一经验支持了三尖瓣成形术是治疗局限性右侧感染性心内膜炎患者的首选方法这一观点。
