Shiraishi Manabu, Ohki Shinichi, Misawa Yoshio
Division of Cardiovascular Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
Interact Cardiovasc Thorac Surg. 2011 Jan;12(1):91-3. doi: 10.1510/icvts.2010.251645. Epub 2010 Oct 21.
A 46-year-old man with a medical history notable only for schizophrenia was admitted to hospital with complaints of general fatigue and high fever. Transthoracic echocardiography on day 6 after admission demonstrated a large vegetation (17 mm) on the anterior leaflet of the mitral valve with mild regurgitation and mild aortic regurgitation. The patient also complained of abdominal pain. Abdominal computed tomography showed a remarkable enlargement of the superior mesenteric artery aneurysm (SMAA). An excision of the SMAA and double valve replacement was performed, and the patient was administered a six-week course of intravenous antibiotic therapy.
一名46岁男性，仅有精神分裂症病史，因全身乏力和高热入院。入院后第6天行经胸超声心动图检查，显示二尖瓣前叶有一个大的赘生物（17毫米），伴有轻度反流和轻度主动脉反流。患者还主诉腹痛。腹部计算机断层扫描显示肠系膜上动脉动脉瘤（SMAA）明显增大。对SMAA进行了切除并进行了双瓣膜置换，患者接受了为期六周的静脉抗生素治疗。
