Kuki S, Yoshida K, Suzuki K, Matsumura R, Okuda A
Department of Cardiovascular Surgery, Osaka Rosai Hospital, Sakai, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Jan;42(1):156-9.
A successful repair for infective endocarditis of the tricuspid valve is presented. A 35-year-old man was referred to our hospital complaining of high fever despite antibiotic chemotherapy. Lung scan showed multiple thromboembolism. Blood cultures revealed staphylococcus aureus. Echocardiography showed vegetations attached to the tricuspid valve and severe tricuspid regurgitation. Conservative surgery such as vegetectomy and DeVega's annuloplasty was successfully carried out. The patient's postoperative course was uneventful. The conservative surgery might provide a satisfactory result in the selected cases with localized vegetation and minimum valve involvement.
本文介绍了一例成功修复三尖瓣感染性心内膜炎的病例。一名35岁男性因抗生素化疗后仍持续高热被转诊至我院。肺部扫描显示多处血栓栓塞。血培养发现金黄色葡萄球菌。超声心动图显示三尖瓣有赘生物附着且存在严重的三尖瓣反流。成功实施了诸如赘生物切除术和德维加瓣环成形术等保守手术。患者术后恢复顺利。对于选定的局限性赘生物且瓣膜受累最小的病例，保守手术可能会取得满意的效果。
