超音波心エコー法により弁病変の推移を観察しえた亜急性細菌性心内膜炎の一例

概要

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A case of subacute bacterial endocarditis (SBE), who was followed up echocardiographically for 10 months from the initial stage, was reported. The patient, 46 years old female, was admitted to the hospital because of inflammatory signs and heart murmur and the diagnosis of SBE based on congenital ventricular septal defect was made by echocardiographic observation on vegetation echoes attached to aortic and tricuspid valves. Massive echoes which consisted of vegetations and destroyed valves growed up larger and harder during the follow up period even after the clinical inflammatory signs were normalized by the treatment with antibiotics. These observations suggested that in the SBE hemodynamic deteriolation could develop and a risk of embolic episode might be continfied even after the inflammatory signs subsided. And then, the echocardiographic observation was important for taking care of these complications.
神戸大学の論文