Aoyagi S, Kawara T, Nakamura H, Sakamoto T, Imamura H, Tajiri T, Akagawa H, Kosuga K, Oishi K, Koga M
Nihon Geka Gakkai Zasshi. 1984 May;85(5):492-8.
This is the case report of 3 surgical patients with infective endocarditis in childhood. Case 1: A 8 year-old boy was admitted with high fever and congestive heart failure. Aureus staphylococci were identified by blood culture. Echocardiogram showed a vegetating mass on the posterior mitral leaflet. This patient was cured by emergency mitral valve replacement during the active phase of infection. Case 2: A 3 year-old girl was admitted with infective endocarditis related to VSD. Viridans streptococci were identified by blood culture. Echocardiogram showed a vegetating mass on the septal tricuspid leaflet. After successful antibiotic therapy, this patient underwent the closure of VSD and tricuspid valvuloplasty. Case 3: A 7 year-old boy was admitted with infective endocarditis related to VSD. Aureus staphylococci were identified with blood culture. Echocardiogram showed a vegetating mass on the anterior tricuspid leaflet and moderate tricuspid regurgitation. After successful antibiotic therapy, this patient underwent the closure of VSD and tricuspid valvuloplasty. We believe that echocardiography plays an important role in the diagnosis and management of infective endocarditis and that tricuspid valvuloplasty is the method of first choice in treatment of the patient with regional tricuspid infective endocarditis.
这是3例儿童感染性心内膜炎外科手术患者的病例报告。病例1：一名8岁男孩因高热和充血性心力衰竭入院。血培养鉴定出金黄色葡萄球菌。超声心动图显示二尖瓣后叶有赘生物。该患者在感染活动期通过急诊二尖瓣置换术治愈。病例2：一名3岁女孩因与室间隔缺损相关的感染性心内膜炎入院。血培养鉴定出草绿色链球菌。超声心动图显示三尖瓣隔叶有赘生物。成功进行抗生素治疗后，该患者接受了室间隔缺损封堵术和三尖瓣瓣膜成形术。病例3：一名7岁男孩因与室间隔缺损相关的感染性心内膜炎入院。血培养鉴定出金黄色葡萄球菌。超声心动图显示三尖瓣前叶有赘生物和中度三尖瓣反流。成功进行抗生素治疗后，该患者接受了室间隔缺损封堵术和三尖瓣瓣膜成形术。我们认为超声心动图在感染性心内膜炎的诊断和管理中起着重要作用，并且三尖瓣瓣膜成形术是治疗局限性三尖瓣感染性心内膜炎患者的首选方法。
