Morokuma Hiroyuki, Minato Naoki, Kamohara Keiji, Minematsu Noritoshi
Department of Thoracic and Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga, Fukuoka, Japan.
Ann Thorac Cardiovasc Surg. 2010 Apr;16(2):134-8.
Tricuspid valve infective endocarditis (TVIE) is rare in Japan, though many reports of it in intravenous drug users are found in other countries. We experienced 3 surgical cases of isolated TVIE in 2 nonintravenous drug users and 1 intravenous user, and we presented successful results. The surgical options for TVIE are vegetectomy and valvulectomy, valve repair, and valve replacement, which are controversial in regard to hemodynamic consequences in right-sided low-pressure system and long-term prognosis. We report the 3 surgical cases of isolated TVIE.
三尖瓣感染性心内膜炎(TVIE)在日本较为罕见,尽管在其他国家有许多关于静脉药物使用者患此病的报道。我们遇到了3例孤立性TVIE的手术病例,其中2例非静脉药物使用者和1例静脉药物使用者,我们展示了成功的治疗结果。TVIE的手术选择包括赘生物切除术、瓣膜切除术、瓣膜修复和瓣膜置换,这些在右侧低压系统的血流动力学影响和长期预后方面存在争议。我们报告这3例孤立性TVIE的手术病例。