Palakodeti V, Keen W D, Rickman L S, Blanchard D G
University of California, San Diego School of Medicine, USA.
Clin Cardiol. 1997 Jun;20(6):579-80. doi: 10.1002/clc.4960200613.
Right-sided involvement is fairly common in infective endocarditis, but involvement of the eustachian valve is distinctly rare. We present the case of a 36-year-old intravenous drug user with staphylococcal bacteremia and septic pulmonary emboli. Transthoracic echocardiography was normal, but transesophageal echocardiography revealed a large eustachian valve vegetation. This case illustrates the utility of multiplane transesophageal echocardiography in the evaluation of eustachian valve pathology.
右侧受累在感染性心内膜炎中相当常见,但咽鼓管瓣膜受累则极为罕见。我们报告一例36岁的静脉吸毒者,患有葡萄球菌菌血症和脓毒性肺栓塞。经胸超声心动图检查正常,但经食管超声心动图显示咽鼓管瓣膜有一个大的赘生物。该病例说明了多平面经食管超声心动图在评估咽鼓管瓣膜病变中的作用。