Hata T, Hisadome I, Nishigaki T, Kasahara T, Kuroda S, Aume M, Norimoto N, Nishio M, Furuse T, Mashiba H
J Cardiogr. 1983 Jun;13(2):443-51.
A 51-year-old woman was admitted to our hospital because of palpitation, dyspnea and anterior chest discomfort. She had had a heart murmur since childhood. On physical examination, a rough grade 6/6 ejection systolic murmur was maximally audible at the second left intercostal space with a systolic thrill. The chest X-ray film showed the cardiothoracic ratio of 54% and the electrocardiogram demonstrated right ventricular hypertrophy. Calcification of the tricuspid annulus was recognized by chest X-ray films (anteroposterior and lateral views), M-mode and cross-sectional echocardiograms and the computed tomogram (CT) of the chest. Cardiac catheterization revealed the presence of valvular pulmonary stenosis and atrial septal defect. These findings were confirmed by surgical operation. Since the first description of Paktovskii in 1960, nine cases of calcification of the tricuspid annulus were reported, but no case has been described in the Japanese literature. Contrary to the mitral annulus, the echocardiographic and computed tomographic features of the calcification of the tricuspid annulus has not been reported previously. In this paper, we reported a middle aged patient with circumferential calcification of the tricuspid annulus in association with severe pulmonary stenosis and atrial septal defect, and the features of the echocardiogram and CT images were illustrated.
一名51岁女性因心悸、呼吸困难和胸前区不适入院。她自幼即有心脏杂音。体格检查时，在左第二肋间可闻及粗糙的6/6级喷射性收缩期杂音，并伴有收缩期震颤。胸部X线片显示心胸比率为54%，心电图显示右心室肥厚。通过胸部X线片（前后位和侧位）、M型和切面超声心动图以及胸部计算机断层扫描（CT）发现三尖瓣环钙化。心导管检查显示存在瓣膜性肺动脉狭窄和房间隔缺损。这些发现经手术证实。自1960年帕托夫斯基首次描述以来，共报告了9例三尖瓣环钙化病例，但日本文献中尚无相关病例报道。与二尖瓣环不同，三尖瓣环钙化的超声心动图和计算机断层扫描特征此前尚未见报道。本文报告了一名中年患者，其三尖瓣环呈环形钙化，伴有严重肺动脉狭窄和房间隔缺损，并展示了超声心动图和CT图像的特征。
