Wang Yonghuai, Ma Chunyan, Yang Jun, Liu Shuang, Zhang Yan, Zhao Lanting, Guan Zhengyu, Wei Hong, Gu Tianxiang
The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
The Department of Cardiac Surgery, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
J Clin Ultrasound. 2015 May;43(4):265-267. doi: 10.1002/jcu.22180. Epub 2014 Jun 13.
Libman-Sacks endocarditis, characterized by sterile verrucous vegetations, is a rare but typical cardiac manifestation of systemic lupus erythematosus. It primarily leads to lesions of the mitral and aortic valves, but isolated tricuspid valve involvement is exceptional. We report the case of a 40-year-old woman with large tricuspid valve vegetations, thickening, and regurgitation. Clinical findings and laboratory tests confirmed the diagnosis of systemic lupus erythematosus. The patient successfully recovered following tricuspid valve replacement. Echocardiography is the definitive imaging modality for assessing cardiac valvular involvement, choosing appropriate therapy, and evaluating the prognosis of Libman-Sacks endocarditis in systemic lupus erythematosus. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:265-267, 2015.
利布曼-萨克斯心内膜炎以无菌性疣状赘生物为特征，是系统性红斑狼疮一种罕见但典型的心脏表现。它主要导致二尖瓣和主动脉瓣病变，但孤立的三尖瓣受累情况较为罕见。我们报告一例40岁女性，患有巨大的三尖瓣赘生物、增厚及反流。临床发现和实验室检查确诊为系统性红斑狼疮。患者在进行三尖瓣置换术后成功康复。超声心动图是评估系统性红斑狼疮中利布曼-萨克斯心内膜炎心脏瓣膜受累情况、选择合适治疗方法及评估预后的决定性影像学检查方法。© 2014威利期刊公司。《临床超声杂志》43:265 - 267, 2015年。
