人工弁置換術の術前処置として歯科的管理を要した僧帽弁閉鎖不全症患者の1例

• 湯村 直子

  Department of Dentistry and Oral Surgery, Bokuto General Hospital of Tokyo Metropolitan Government

• 大曽根 洋

  Department of Dentistry and Oral Surgery, Bokuto General Hospital of Tokyo Metropolitan Government

• 玉田 八束

  Department of Dentistry and Oral Surgery, Bokuto General Hospital of Tokyo Metropolitan Government

• 毒島 保信

  Department of Dentistry and Oral Surgery, Bokuto General Hospital of Tokyo Metropolitan Government

• 杉山 あや子

  Department of Dentistry and Oral Surgery, Bokuto General Hospital of Tokyo Metropolitan Government

書誌事項

タイトル別名

• A case requiring dental management prior to mitral valve replacement surgery due to mitral regurgitation

抄録

We herein report a case of infective endocarditis (IE) resulting from multiple and recurrent dental infections leading to mitral regurgitation (MR) requiring mitral valve replacement (MVR) surgery. A 32-year-old female patient was admitted to the Infectious Disease Department of our hospital diagnosed as IE. During the course of hospitalization, she was referred to our department for investigation and identification of a possible oral route (source) for her IE. Oral examination revealed that connected temporary crowns were place over her dentitions and upon removal, there were no teeth (crown) remaining, only the alveolar roots remained. We speculated that the source of her IE was due to oral bacteria and recommended teeth extraction but the patient denied further oral (dental) treatment. Her heart condition improved without oro-dental treatment and was discharged from the hospital 43 days after admission. Four months after discharge, she was readmitted for MR resulting from IE. As a preoperative oro-dental treatment, she underwent complete teeth extraction. After completion of dental treatment, MVR surgery was performed. Postoperatively, she made considerable progress and was discharged from the hospital 58 days after admission.

収録刊行物

• 有病者歯科医療

  有病者歯科医療 12 (3), 159-164, 2003

  一般社団法人 日本有病者歯科医療学会

詳細情報

• CRID: 1390001204486149760
• NII論文ID: 130004298420
• NII論文ID: 10018620606
• NII書誌ID: AN10401297
• DOI: 10.11255/jjmcp1992.12.159
• ISSN: 1884667X
• ISSN: 09188150
• Web Site: https://search.jamas.or.jp/link/ui/2007211393
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可