Peripheral Pulmonary Artery Aneurysm Secondary to Tricuspid Valve Infective Endocarditis in an Intravenous Drug User
10.4326/jjcvs.39.321
- VernacularTitle:末梢性肺動脈瘤を合併した覚醒剤常用者における三尖弁位感染性心内膜炎の1手術例
- Author:
Masanori Nishimura
;
Mitsuhiro Yano
;
Hiroyuki Nagahama
;
Masakazu Matsuyama
;
Kohji Furukawa
;
Atsuko Yokota
;
Hirohito Ishii
;
Toshio Onitsuka
- Publication Type:Journal Article
- Keywords:
infective endocarditis;
tricuspid valve;
drug abuse;
pulmonary artery aneurysm;
coil embolization
- From:Japanese Journal of Cardiovascular Surgery
2010;39(6):321-324
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of tricuspid infective endocarditis with peripheral pulmonary artery aneurysm. A 31-year-old man with a history of intravenous drug abuse was admitted to our institution. Echocardiography showed severe tricuspid valve insufficiency and large vegetation (10 mm) attached to the tricuspid valve. Computed tomography (CT) revealed a right peripheral pulmonary artery aneurysm. We operated because of the large amount of vegetation. Before the operation, we performed coil embolization for peripheral pulmonary aneurysm. During the operation, we removed the posterior leaflet with vegetation, and performed tricuspid valve repair. The postoperative course was uneventful. Postoperative echocardiography did not show any tricuspid valve insufficiency or vegetation.
