Oakley G D, Carson P H, Sanderson J M
Br Heart J. 1977 Mar;39(3):323-5. doi: 10.1136/hrt.39.3.323.
A patient with alpha-haemolytic streptococcus endocarditis on a ventricular septal defect is described. The disease spread to involve both tricuspid and pulmonary valves which were largely destroyed. The patient developed severe right heart failure with pronounced rise in right atrial pressure. This led to right-to-left shunting through the foramen ovale with systemic embolization. She was successfully treated by operative closure of the defects and double right-sided valve replacement.
本文描述了一名患有室间隔缺损并感染甲型溶血性链球菌性心内膜炎的患者。疾病蔓延至累及三尖瓣和肺动脉瓣，这两个瓣膜大部分已被破坏。患者出现严重的右心衰竭，右心房压力显著升高。这导致通过卵圆孔出现右向左分流并发生全身栓塞。她通过手术闭合缺损及双侧瓣膜置换术获得成功治疗。
