Shimono T, Kusagawa H, Sato T, Wada K, Yada I, Kusagawa M
Department of Thoracic Surgery, Mie University School of Medicine, Tsu, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Oct;39(10):1932-6.
The patient was a 39-year-old female who had undergone mitral valve replacement 2 years previously. Staphylococcus epidermidis was detected on blood culture. Transesophageal echocardiography revealed vegetation attached to the left atrial site of the mitral prosthesis, whereas precordial echocardiography did not reveal any abnormal echo structure. The patient was performed an emergency operation, during which the echocardiographic finding was confirmed. We conclude that performance of transesophageal echocardiography is useful when clinical features suggest prosthetic valve endocarditis.
该患者为一名39岁女性，两年前接受了二尖瓣置换术。血培养检测到表皮葡萄球菌。经食管超声心动图显示二尖瓣人工瓣膜左心房部位有赘生物，而心前区超声心动图未发现任何异常回声结构。该患者接受了急诊手术，术中证实了超声心动图检查结果。我们得出结论，当临床特征提示人工瓣膜心内膜炎时，经食管超声心动图检查是有用的。
