Sasaki Y, Suehiro S, Shibata T, Minamimura H, Kumano H, Kinoshita H
Second Department of Surgery, Osaka City University Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Nov;45(11):1844-7.
We reported a rare case of isolated tricuspid valve endocarditis in a non-addict with no underlying cardiac disease. A 48-year-old man was presented with high fever and newly developed leg edema. The diagnosis of tricuspid endocarditis was established following detection of a large vegetation (3.0 cm) on the tricuspid valve on echocardiography. One blood culture showed positive for Campylobacter fetus. At operation, a large and a small vegetation were found attached to the anterior leaflet of the tricuspid valve, and the septal leaflet was also found to be involved by the infective endocarditis. These leaflets were therefore removed and the tricuspid valve was replaced with CarboMedics valve. He has remained free of endocarditis for nineteen months after surgery.
我们报告了一例罕见的孤立性三尖瓣心内膜炎病例，患者为非成瘾者，无潜在心脏病史。一名48岁男性出现高热及新发腿部水肿。经超声心动图检查发现三尖瓣上有一个大的赘生物（3.0 cm），从而确诊为三尖瓣心内膜炎。一次血培养显示胎儿弯曲菌阳性。手术中发现三尖瓣前叶附着有一大一小两个赘生物，且发现隔叶也受到感染性心内膜炎累及。因此切除了这些瓣叶，并用CarboMedics瓣膜置换了三尖瓣。术后19个月他未再发生心内膜炎。
