Yanagiya A, Kazui T, Mawatari T
Department of Cardiovascular Surgery, Nikko Memorial Hospital, Muroran, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Nov;43(11):1841-4.
For right-sided endocarditis associated with drug abuse a successful treatment by tricuspid valve replacement was reported. A 34-year-old female who had a history of intravenous drug use for 14 years was admitted with complaints of chest pain, fever and dyspnea. A large vegetation about 47 mm in size attached to the tricuspid valve with tricuspid regurgitation was detected by echocardiography. Methicillin-resistant staphylococcus aureus was isolated in a blood culture. Because infection was persistent and uncontrollable in spite of sensitive multiple antibiotic regimens, tricuspid valve replacement using a St. Jude Medical valve was successfully performed with excision of markedly destroyed leaflets and debridement of the infectious lesions. After surgery the patient has been free from infection for 3 years.
据报道，对于与药物滥用相关的右侧感染性心内膜炎，通过三尖瓣置换术可成功治疗。一名有14年静脉吸毒史的34岁女性因胸痛、发热和呼吸困难入院。超声心动图检查发现一个大小约47毫米的大赘生物附着在三尖瓣上，并伴有三尖瓣反流。血培养分离出耐甲氧西林金黄色葡萄球菌。尽管采用了多种敏感抗生素治疗方案，但感染仍持续且无法控制，于是成功进行了三尖瓣置换术，使用圣犹达医疗瓣膜，切除明显受损的瓣叶并清除感染病灶。术后患者已3年未发生感染。
