Soyer R, Brunet A, Chevallier B, Leroy J, Morere M, Redonnet M
J Thorac Cardiovasc Surg. 1981 Aug;82(2):254-6.
A case of endocardial tuberculoma of the left atrium in a 20-year-old woman is presented. Ulceration of the tuberculoma at the aortic anulus led to disruption of the aortic valvular attachment and induced severe aortic insufficiency. Replacement of the aortic valve and administration of antituberculous medication permitted an uneventful recovery. This is probably the first case of tuberculous aortic insufficiency diagnosed in a living patient and surgically treated with the use of extracorporeal bypass.
本文报告一例20岁女性左心房心内膜结核瘤病例。结核瘤在主动脉瓣环处发生溃疡，导致主动脉瓣附着处破坏，引发严重主动脉瓣关闭不全。更换主动脉瓣并给予抗结核药物治疗后，患者顺利康复。这可能是首例在活体患者中诊断出结核性主动脉瓣关闭不全并采用体外循环进行手术治疗的病例。
