Pérez Alvarez F, Adrados M, García Tornell S
An Esp Pediatr. 1983 Jan;18(1):51-4.
A case of neonatal nonbacterial thrombotic endocarditis confirmed at autopsy was identified in the neonatal intensive care unit. The infant suffered from hyaline membrane and disseminated intravascular coagulation. A degenerative verrucal endocarditis at the tricuspid and aortic valves was demonstrated in addition to pulmonary and renal embolism. Vegetations on the heart valves of the newborn infants are rare at necropsy and yet to be diagnosed antemortem. Prospective studies are needed to determine whether high-risk patients should be screened periodically by echocardiographic technique.
在新生儿重症监护病房发现了一例经尸检确诊的新生儿非细菌性血栓性心内膜炎病例。该婴儿患有透明膜病和弥散性血管内凝血。除了肺栓塞和肾栓塞外,还发现三尖瓣和主动脉瓣有退行性疣状心内膜炎。新生儿心脏瓣膜上的赘生物在尸检中很少见,且生前难以诊断。需要进行前瞻性研究,以确定高危患者是否应通过超声心动图技术进行定期筛查。