CAJ | 학술논문

目的：探讨二尖瓣脱垂合并感染性心内膜炎的临床特点，并复习相关文献资料。方法对本院2013年1月至2015年1月收治的1例二尖瓣脱垂合并感染性心内膜炎的临床资料进行回顾性分析。结果患者因乏力、低热1个月收入院，经胸超声心动图提示：二尖瓣后叶脱垂、二尖瓣中量反流，未见赘生物；经食管超声心动图显示：左房前壁及二尖瓣前后叶附着赘生物。经规范抗生素治疗后，行左房内赘生物清除+二尖瓣机械瓣膜置换术。结论二尖瓣脱垂合并感染性心内膜炎罕见，经胸超声心动图未发现赘生物时并不能除外感染性心内膜炎，应该紧密结合临床，以提高二尖瓣脱垂合并感染性心内膜炎患者的预后。
목적：탐토이첨판탈수합병감염성심내막염적림상특점，병복습상관문헌자료。방법대본원2013년1월지2015년1월수치적1례이첨판탈수합병감염성심내막염적림상자료진행회고성분석。결과환자인핍력、저열1개월수입원，경흉초성심동도제시：이첨판후협탈수、이첨판중량반류，미견췌생물；경식관초성심동도현시：좌방전벽급이첨판전후협부착췌생물。경규범항생소치료후，행좌방내췌생물청제+이첨판궤계판막치환술。결론이첨판탈수합병감염성심내막염한견，경흉초성심동도미발현췌생물시병불능제외감염성심내막염，응해긴밀결합림상，이제고이첨판탈수합병감염성심내막염환자적예후。
Objective To investigate the clinical characteristics of infective endocarditis(IE) in patients with mitral valve prolapse( MVP) . Method Data of 1 patient with IE and MVP were analyzed retrospectively from January 2013 to January 2015. Result The patient was admitted to our department due to lack of power and mild fever for one month. Transthoracic echocardiography(TTE) showed posterior leaflet prolapse of mitral valve,middle-graderegurgitation,no vegetations. Transesophageal echocardiography( TEE) showed vegetations were found on the anterior wall of left atrium and anterior,posterior leaflet of mitral valve. After standard treatment of antibiotics,this patient had the surgery of veg-etations clearance plus mitral valvular replacement. Conclusion The incidence of MVP and IE was rare. We couldn’ t exclude the diagnosis of mitral valve prolapse and IE when vegetations were not found by TTE. We should integrate clinical practice to improve the outcomes of infective endocarditis in patients with mitral valve prolapse.