Ando S, Nakamura K, Ishizuka N, Fujita Y, Kimura H, Murasaki K, Fujimori K, Hosoda S, Koyanagi H
Department of Cardiology, Heart Institute of Japan, Tokyo Women's Medical College.
J Cardiol. 1997;29 Suppl 2:59-64.
A 53-year-old man, who had undergone tricuspid valve replacement with Hancock valve and direct closure of a ventricular septal defect when aged 34 years, was admitted with signs of right heart failure. Two-dimensional echocardiography showed bioprosthetic tricuspid valve malfunction with right atrial thrombus. He was treated by tricuspid valve replacement using a Hancock II valve and removal of the right atrial thrombus with remarkable improvement. Transesophageal echocardiography was the most useful method for recognizing the presence of right atrial thrombus and assessing its actual or potential hemodynamic effects.
一名53岁男性，34岁时接受了汉考克瓣膜三尖瓣置换术及室间隔缺损直接闭合术，现因右心衰竭症状入院。二维超声心动图显示生物瓣三尖瓣功能障碍合并右心房血栓。他接受了使用汉考克II型瓣膜的三尖瓣置换术及右心房血栓清除术，病情显著改善。经食管超声心动图是识别右心房血栓存在并评估其实际或潜在血流动力学影响的最有用方法。
