Cremieux A C, Witchitz S, Malergue M C, Wolff M, Vittecocq D, Vilde J L, Frottier J, Valere P E, Gibert C, Saimot A G
Am J Cardiol. 1985 Oct 1;56(10):610-3. doi: 10.1016/0002-9149(85)91021-5.
Clinical and echocardiographic data from 12 patients with pulmonary valve endocarditis are described. Seven patients had isolated pulmonary endocarditis and in 5 patients other valves were infected (aortic, tricuspid, mitral or all 3). Two patients were heroin addicts and 4 had underlying heart disease (congenital heart disease in 3 and aortic regurgitation in 1 patient). The organisms involved were alpha streptococci in 3 patients (all with underlying heart disease), Staphylococcus aureus in 4, Streptococcus D bovis in 1 patient and Candida guillermondii in 1. M-mode and 2-dimensional echocardiography was performed in 10 patients and revealed vegetations in 8. Pulsed Doppler echocardiography was performed in 6 patients and revealed pulmonary regurgitation in all 6. Seven patients had pulmonary emboli. Four patients underwent surgery. Four patients died, including 1 after cardiac surgery. Five patients, including the patient infected with Candida guillermondii, recovered with antibiotic treatment.
本文描述了12例肺动脉瓣心内膜炎患者的临床和超声心动图数据。7例患者为单纯性肺动脉心内膜炎，5例患者其他瓣膜（主动脉瓣、三尖瓣、二尖瓣或全部3个瓣膜）也受到感染。2例患者为海洛因成瘾者，4例患者有基础心脏病（3例为先天性心脏病，1例为主动脉瓣关闭不全）。感染病原体为3例α链球菌（均有基础心脏病）、4例金黄色葡萄球菌、1例牛链球菌D群和1例季也蒙念珠菌。10例患者进行了M型和二维超声心动图检查，其中8例发现赘生物。6例患者进行了脉冲多普勒超声心动图检查，6例均发现肺动脉反流。7例患者发生肺栓塞。4例患者接受了手术。4例患者死亡，其中1例死于心脏手术后。5例患者，包括感染季也蒙念珠菌的患者，经抗生素治疗后康复。
