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英文誌(2004-)

Journal of Medical Ultrasonics

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1996 - Vol.23

Vol.23 No.04

Case Report(症例報告)

(0301 - 0306)

経胸壁および経食道心エコー図にて診断し得た大動脈炎症候群を基礎疾患とした感染性心内膜炎による大動脈弁輪部多発性膿瘍と僧帽弁瘤

Multiple Aortic Ring Abscess and Mitral Valve Aneurysm Caused by Infective Endocarditis With Aortitis Syndrome Diagnosed Using Transthoracic and Transesophageal Echocardiography

周藤 弥生1, 中村 憲司2, 石塚  尚子2, 藤田 洋子2, 仁木  清美2, 酒井 吉郎2, 橋本 明政3

Yayoi SUTO1, Kenji NAKAMURA2, Naoko ISHIZUKA2, Yoko HUJITA2, Kiyomi NIKI2, Kichiro SAKAI2, Akimasa HASHIMOTO3

1大阪市立総合医療センター循環器内科, 2東京女子医科大学循環器内科, 3東京女子医科大学心臓血管外科

1Division of Cardiology, Osaka City General Hospital, 2Division of Cardilology, Tokyo Womens Medical University , 3Division of Cardiovascular Surgery, Tokyo Womens Medical University

キーワード : Aortic ring abscess, Infective endocarditis, Mitral valve aneurysm, Transesophageal echocardiography

A 33-year-old woman who had aortic valve replacement (AVR) because of infective endocarditis 2 years ago was referred to us with orthopnea and a new heart murmur. An aortic ring abscess and a mitral valve aneurysm were detected by transthoracic and transesophageal echocardiography. Abnormal flow through the aortic ring between the aorta and the left atrium was shown by color Doppler echocardiography. The condition was diagnosed as prosthetic valve endocarditis and was treated using the re-AVR translocation method (AVR translocated in the supracoronary area) (Carbo Medics, 23 mm) and mitral valve repeacement (Carbo Medics, 29 mm). Changes in size and number of aortic root abscesses after surgery were closely monitored by transthoracic and transesophageal echocardiography, which provides comprehensive infoemation about complex infective lesions.