Bierbrier G S, Novick R J, Guiraudon C, Wisenberg G, Boughner D
Department of Medicine, University Hospital, London, Ontario, Canada.
Chest. 1991 Mar;99(3):757-9. doi: 10.1378/chest.99.3.757.
An unusual case of Staphylococcus aureus endocarditis confined to the mural left atrium is presented. Echocardiographic studies revealed a 1.5 x 2.0-cm vegetation mimicking a myxoma situated in the path of a mitral regurgitant jet on a color Doppler test. Emboli to upper and lower extremities and brain complicated the patient's preoperative course. Surgical excision and pathologic examination confirmed this rare occurrence.
本文报告了一例罕见的局限于左心房壁的金黄色葡萄球菌性心内膜炎病例。超声心动图研究显示,在彩色多普勒检查中,一个1.5×2.0厘米的赘生物,类似于位于二尖瓣反流束路径上的黏液瘤。患者术前病程中出现了上肢、下肢和脑部的栓塞并发症。手术切除及病理检查证实了这一罕见情况。