细菌性心内膜炎中的二尖瓣赘生物类似于左心房黏液瘤。

Mitral valve vegetations in bacterial endocarditis resembling left atrial myxoma.

作者信息

Nicholson M R, Roche A H, Kerr A R, Long S

出版信息

Aust N Z J Med. 1980 Jun;10(3):327-9. doi: 10.1111/j.1445-5994.1980.tb04079.x.

DOI:10.1111/j.1445-5994.1980.tb04079.x

Abstract

A patient with Staphylococcus aureus endocarditis is reported whose echocardiogram closely resembled that found in left atrial myxoma. Because of severe mitral incompetence, the valve was replaced using cardiopulmonary bypass and at operation a large 3 cm friable vegetation was found attached to the posterior leaflet of the mitral valve. Histological examination showed changes typical of bacterial endocarditis with no evidence of myxoma.

摘要

报告了一名金黄色葡萄球菌性心内膜炎患者，其超声心动图与左心房黏液瘤极为相似。由于严重的二尖瓣关闭不全，在体外循环下进行了瓣膜置换，术中发现二尖瓣后叶附着有一个3厘米大的易碎赘生物。组织学检查显示为典型的细菌性心内膜炎改变，未发现黏液瘤证据。