Right-sided Infective Endocarditis with Multiple Large Vegetations in a Case of Ventricular Septal Defect: A Case Report

Document Type: Case Report

Authors

1 Senior Resident, Department Of Cardiology, JLN Hospital, Ajmer, Rajasthan, India

2 Cardiologist, Department Of Cardiology, JLN Hospital, Ajmer, Rajasthan, India

Abstract

Herein, we present the case of a 10-year-old child suffering from right-sided infective endocarditis with ventricular septal defect. Echocardiography revealed multiple rare large vegetations on the pulmonary valve extending into pulmonary artery along with a large vegetation over the septal leaflet of the tricuspid valve. 

Keywords


  1. Chan P, Ogilby JD, Segal B. Tricuspid valve endocarditis. Am Heart J. 1989; 117:1140-6.
  2. Morokuma H, Minato N, Kamohara K, Minematsu N. Three surgical cases of isolated tricuspid valve infective endocarditis. Ann Thorac Cardiovasc Surg. 2010; 16:134-8.
  3. Frontera JA, Gradon JD. Right-side endocarditis in injection drug users: review of proposed mechanisms of pathogenesis. Clin Infect Dis. 2000; 30:374-9.
  4. Sohail MR, Uslan DZ, Khan AH, Friedman PA, Hayes DL, Wilson WR, et al. Management and outcome of permanent pacemaker and implantable cardi-overter-defibrillator infections. J Am Coll Cardiol. 2007; 49:1851-9.
  5. Del Rio A, Anguera I, Miro JM, Mont L, Fowler VG Jr, Azqueta M, et al. Surgical treatment of pacemaker and defibrillator lead endocarditis: the impact of electrode lead extraction on outcome. Chest. 2003; 124:1451-9.
  6. Musci M, Siniawski H, Pasic M, Grauhan O, Weng Y, Meyer R, et al. Surgical treatment of right-sided active infective endocarditis with or without involvement of the left heart: 20-year single center experience. Eur J Cardiothorac Surg. 2007; 32:118-25.
  7. Murdoch DR, Corey GR, Hoen B, Miró JM, Fowler VG Jr, Bayer AS, et al. Clinical presentation, etiology and outcome of infective endocarditis in the 21st century: The International Collaboration on Endocarditis Prospective Cohort Study. Arch Intern Med. 2009; 169:463-73.
  8. Sohail MR, Uslan DZ, Khan AH, Friedman PA, Hayes DL, Wilson WR, et al. Infective endocarditis complicating permanent pacemaker and implantable cardioverter-defibrillator infection. Mayo Clin Proc. 2008; 83:46-53.
  9. Chrissoheris MP, Libertin C, Ali RG, Ghantous A, Bekui A, Donohue T. Endocarditis complicating central venous catheter bloodstream infections: a unique form of health care associated endocarditis. Clin Cardiol. 2009; 32:E48-54.
10. Hecht SR, Berger M. Right-sided endocarditis in intravenous drug users. Prognostic features in 102 episodes. Ann Intern Med. 1992; 117:560-6.
11. Martin-Davila P, Navas E, Fortun J, Moya JL, Cobo J, Pintado V, et al. Analysis of mortality and risk factors associated with native valve endocarditis in drug users: the importance of vegetation size. Am Heart J. 2005; 150:1099-106.
12. Horstkotte D, Follath F, Gutschik E, Lengyel M, Oto A, Pavie A, et al. Guidelines on prevention, diagnosis and treatment of infective endocarditis executive summary: the task force on infective endocarditis of the European society of cardiology. Eur Heart J. 2004; 25:267-76.
13. Carrel T, Schaffner A, Vogt P, Laske A, Niederhauser U, Schneider J, et al. Endocarditis in intravenous drug addicts and HIV infected patients: possibilities and limitations of surgical treatment. J Heart Valve Dis. 1993; 2:140-7.
14. Renzulli A, De Feo M, Carozza A, Della Corte A, Gregorio R, Ismeno G, et al. Surgery for tricuspid valve endocarditis: a selective approach. Heart Vessels. 1999; 14:163-9.
15. Di Filippo S, Semiond B, Celard M, Sassolas F, Vandenesch F, Ninet J, et al. Characteristics of infectious endocarditis in ventricular septal defects in children and adults. Arch Mal Coeur Vaiss. 2004; 97:507-14.