Mounet F, Soula P, Concina P, Baradat G, Cérène A
Service de chirurgie cardiaque, CHD Félix-Guyon, Saint-Denis.
Arch Mal Coeur Vaiss. 1997 Jul;90(7):987-9.
Rheumatoid nodules represent a rare cardiac valvular involvement in rheumatoid arthritis. Patients are usually asymptomatic. We report two cases of such involvement: one presented as a tumour implanted on the mitral valve, with systemic embolisation; the other presented as aortic regurgitation with acute heart failure. Surgical treatment was performed in both cases. Histological examination revealed typical rheumatoid nodules. The authors discuss valvular involvement in rheumatoid arthritis.
类风湿结节是类风湿关节炎罕见的心脏瓣膜受累表现。患者通常无症状。我们报告两例此类受累病例：一例表现为二尖瓣上的赘生物伴全身栓塞；另一例表现为主动脉瓣关闭不全伴急性心力衰竭。两例均行手术治疗。组织学检查显示为典型的类风湿结节。作者讨论了类风湿关节炎的瓣膜受累情况。
