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A Case of Ventricular Septal Defect Associated with Active Infective Endocarditis Which was Successfully Treated by Triple Valve Replacement and Ventricular Septal Defect Patch Closure Yasuo Ohyama 1 , Toyo Nihei 1 , Kazuo Kimura 1 , Hideyuki Yakuwa 1 , Kazuaki Uchino 1 , Toshiyuki Ishikawa 1 , Naomitsu Kuji 1 , Shuuichi Hayashi 1 , Yasujiro Watanabe 1 , Masao Ishii 1 , Jiro Kondo 2 , Akihiko Matsumoto 2 1The Second Department of Internal Medicine, Yokohama City University 2The First Department of Surgery, Yokohama City University Keyword: 活動性感染性心内膜炎(active infective endocarditis) , 3弁置換術(三尖弁,僧帽弁,大動脈弁){triple valve replacement(tricuspid,mitral,aortic valve)} , 心室中隔欠損症(ventricular septal defect) pp.1049-1053
Published Date 1991/10/15
DOI https://doi.org/10.11477/mf.1404900367
  • Abstract
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A 47-year-old man was hospitalized in May, 1990, because of breathlessness and continuous fever which appeared about 4 weeks after he had had his per-iodonitic tooth removed in December, 1989. He had been diagnosed as having ventricular septal defect (VSD) at the age of 6 years. When he was hospitalized, he was in a condition of class Ⅳ by NYHA classification, with a white blood cell count of 17,300/mm3, an increase in CRP, a red blood cell sedimentation rate of 108 mm/hr, and positive α-streptococcus in blood culture. His car-diothoracic ratio was 64% with signs of pulmonary congestion on a chest X-ray film.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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