Misawa Shun-ichi, Sakano Yasuhito, Muraoka Arata, Yasuda Yoshikazu, Misawa Yoshio
Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Ann Thorac Cardiovasc Surg. 2011;17(4):415-7. doi: 10.5761/atcs.cr.10.01598.
A 75-year-old woman, who had been treated for rheumatic arthritis, was transferred to our hospital because of acute abdomen and continuous fever for several weeks. She had peritonitis, and abdominal computed tomography detected a thrombus occluding the proximal superior mesenteric artery and infarctions of the kidneys and spleen. Echocardiography showed a large vegetation on the anterior leaflet of the mitral valve. The necrotic small bowel and ascending colon were resected, and mitral valve replacement was performed 5 days later. She suffered from hyperbilirubinemia and pneumonia for several weeks after the operation but recovered successfully thereafter.
一名75岁曾接受过风湿性关节炎治疗的女性，因急腹症和持续数周的发热被转至我院。她患有腹膜炎，腹部计算机断层扫描检测到一个血栓阻塞了肠系膜上动脉近端，以及肾脏和脾脏梗死。超声心动图显示二尖瓣前叶有一个大的赘生物。切除了坏死的小肠和升结肠，并在5天后进行了二尖瓣置换术。术后她出现了数周的高胆红素血症和肺炎，但此后成功康复。
