Sakurada T, Kikuchi Y, Shiiku C, Hachiro Y, Kagaya H
Department of Cardiovascular Surgery, National Obihiro Hospital, Japan.
Kyobu Geka. 1997 Jan;50(1):74-7.
A very rare case of tricuspid valve endocarditis which developed in a healthy adult was observed. An 18-year-old man with no history of heart disease nor use of stimulant drugs was diagnosed as having cardiac tumor, introduced to this hospital and admitted. Before the operation, symptoms characteristic to infective endocarditis such as high fever and embolism were not observed, but the tumor was detected in the right ventricle by echocardiography. The patient underwent cardiotomy. The thrombus was removed and annuloplasty was performed by Kay's method, and good results were obtained. Pathologically the disease was diagnosed as infective endocarditis accompanied by thrombus. The postoperative course has been good. When the injury of the valve is slight, the surgical method preserving patient's own valve such as excision of localized vegetation and annuloplasty appears to be useful.
观察到一例发生在健康成年人身上的极为罕见的三尖瓣心内膜炎病例。一名18岁男性，无心脏病史且未使用过兴奋剂药物，被诊断为患有心脏肿瘤，转诊至本院并入院。术前未观察到感染性心内膜炎的典型症状如高热和栓塞，但超声心动图在右心室检测到肿瘤。患者接受了心脏切开术。清除血栓并采用凯氏方法进行瓣环成形术，取得了良好效果。病理诊断为伴有血栓的感染性心内膜炎。术后病程良好。当瓣膜损伤轻微时，保留患者自身瓣膜的手术方法如局部赘生物切除和瓣环成形术似乎是有效的。
