scholarly journals Primary infective endocarditis with isolated involvement of the pulmonary valve not associated with drug addiction

The Clinician ◽  
2019 ◽  
Vol 13 (1-2) ◽  
pp. 65-71
Author(s):  
N. S. Chipigina ◽  
N. Yu. Karpova ◽  
M. M. Tulinov ◽  
E. V. Golovko ◽  
L. M. Goloukhova ◽  
...  
Keyword(s):  
Risk Factors ◽  
Infective Endocarditis ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Female Patient ◽  
Drug Addiction ◽  
Clinical Picture ◽  
Rare Case ◽  
Pulmonary Valve ◽  
The Right

Objective: to describe a rare case of infective endocarditis (IE) with isolated localization in the pulmonary valve (PV).Materials and methods. We observed primary IE with isolated localization in the PV in a 27-year-old female patient without risk factors of right-side IE.Results. The disease was caused by Streptococcus gordonii and proceeded acutely with typical signs of right-side IE: fever above 38 °С, chills, clinical picture of bilateral septic embolic abscess pneumonia, as well as secondary anemia, secondary thrombocytopenia, and glomerulonephritis. Echocardiography showed large vegetations in the PV prolapsing in the right ventricle and pulmonary artery.Conclusion. IE with localization in the PV should be suspected in patients with fever and clinical picture of septic embolic pneumonia in absence of other embolic situations.

scholarly journals A case report of pulmonary valve infective endocarditis

2021 ◽  
Vol 10 (2) ◽  
pp. 125-130
Author(s):  
A. M. Kochergina ◽  
N. A. Galimova
Keyword(s):  
Risk Factors ◽  
Infective Endocarditis ◽  
Rare Case ◽  
Clinical Case ◽  
Healthcare Professionals ◽  
Pulmonary Valve ◽  
Social Risk ◽  
Social Risk Factors ◽  
The Right ◽  
Cardiac Surgeons

Highlights. A rare case of pulmonary valve infective endocarditis in a patient without medical and social risk factors is reported. The presented treatment strategy is of particular interest to general physicians, cardiologists, and cardiac surgeons.The incidence of isolated pulmonary valve infective endocarditis is extremely rare in the general population. Thus, clinical physicians do not have their own experience in the differential diagnosis of this pathology. There is a prejudice that Abstract infective endocarditis involving the right side of the heart is commonly associated with intravenous drug abuse. Healthcare professionals lack caution when making this diagnosis in patients. We report a rare clinical case of pulmonary valve infective endocarditis in a patient without medical and social risk factors.

scholarly journals 97 An unusual combination of rare congenital heart defects in a 70 years old lady complaining worsening dyspnea

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Matteo Bellettini ◽  
Antonio Montefusco ◽  
Andrea Angelini ◽  
Fulvio Orzan ◽  
Fabrizio D’Ascenzo ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Tricuspid Regurgitation ◽  
Congenital Heart ◽  
Pulmonary Valve ◽  
Pulmonary Regurgitation ◽  
Subaortic Membrane ◽  
The Right

Abstract Methods and results A 70-year-old woman presented to our outpatient clinic complaining of worsening dyspnoea in the last 3 months. She had a medical history of hypertension, diabetes, dyslipidemia, and paroxysmal atrial fibrillation. We performed a comprehensive evaluation starting with a transthoracic echocardiogram that showed a dilatation of right ventricle with normal function, severe pulmonary regurgitation, and moderate tricuspid regurgitation with estimated pulmonary artery systolic pressure of 55 mmHg; the left ventricle had normal dimension and function, with mild aortic and mitral regurgitation, and a subaortic membrane which caused a mild obstruction (maximum gradient 17 mmHg). The cardiac magnetic resonance (CMR) confirmed the enlargement of the right ventricle and of the pulmonary artery trunk (51 mm) and the severity of pulmonary regurgitation (regurgitant fraction of 41%). CMR also clearly showed the VSD just below the subaortic membrane and the left to right shunt with a jet that appeared to proceed straight from the left ventricle through the pulmonary valve (Figure 1A). The estimated Qp/Qs was 1.6 and no intramyocardial late enhancement was present. Pulmonary pressures and pulmonary vascular resistance were normal at the right heart catheterization and the Qp/Qs ratio calculated invasively was 1.45. Considering patient high-risk profile for coronary artery disease, a coronary angiography was also performed showing an abnormal origin of the right coronary artery (RCA) from the mid-portion of the left anterior descending coronary artery (LAD) with two significant stenosis: one involving the bifurcation of RCA and the other the mid-portion of the LAD (Figure 1B). The coronary computed tomography angiography (CCTA) showed a benign course of the RCA anterior to the pulmonary artery towards the auriculoventricular groove (Figure 1C, D). Taking into account all these findings, multidisciplinary heart team decided to perform a cardiac surgery intervention of pulmonary valve and trunk replacement, closure of ventricular septal defect and two coronary bypass grafts on LAD and RCA. Conclusions This case represents a combination of some rare congenital heart abnormalities where multimodality cardiovascular imaging techniques were essential to establish a proper diagnosis and to plan an adequate surgical repair. We hypothesize that the peculiar orientation of the VSD jet may have caused the pulmonary trunk dilatation considering that neither the shunt, nor the pulmonary pressure appear to have been of sufficient magnitude to cause it. Pulmonary ectasia and the damage inflicted by the jet to the cusps of the valve have led to the severe valvular insufficiency. While aortic and tricuspid regurgitation are known to be associated with VSD, to the best of our knowledge this is the first report of pulmonary regurgitation secondary to VSD.

scholarly journals P690 Pulmonary valve endocarditis complicated with fistula between right ventricle outflow tract and aorta in a patient with patent ductus arteriosus

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
D Toader ◽  
A Craciun Mirescu ◽  
M Cocora ◽  
O Munteanu ◽  
E R Mustafa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Infective Endocarditis ◽  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Ct Scan ◽  
Pulmonary Valve ◽  
Ductus Arteriosus ◽  
Signs And Symptoms ◽  
Patent Ductus

Abstract Background The majority of cases of right sided infective endocarditis involve the tricuspid valve. Isolated pulmonary valve (PV) endocarditis is rare. Congenital heart disease are risk factors. Material and methods: We present the case of 36 years old male, without any known cardiovascular disease, who was admitted with signs and symptoms of heart failure, pulmonary embolism and fever. He was evaluated clinically, 12 lead ECG, pulmonary radiography, thoracic computer tomography (CT) scan, transthoracic and transesophageal echocardiography, laboratory investigations. Results: Transthoracic and transesophageal echocardiogram revealed large vegetations located on pulmonary valve, pulmonary regurgitation and dilation of the pulmonary valve, patent ductus arteriosus (PDA) with bidirectional shunt and local complications: fistula between right ventricle outflow tract (RVOT) and aorta, pleural and pericardial effusion. Blood cultures were negative. ECG aspect was right bundle branch block. Radiography and thoracic CT scan revealed pulmonary embolism aspect. The patient was treated with antibiotics and surgical option included debridement of the infected area, vegetation excision with valve replacement, relief of RVOT, fistula closure with pericardial patch and ligature of PDA. Evolution after surgical intervention was good.Conclusions: This presentation reveals a favorable evolution of a patient with infective endocarditis located to pulmonary valve. In most of cases, right heart endocarditis presents with signs and symptoms of respiratory disease and fever; these are due to septic pulmonary embolization. Isolated PV endocarditis still remains a challenging and needs carefully echocardiographic evaluation for a correct diagnosis and risk factors identification.

scholarly journals Native pulmonary valve infective endocarditis with septic embolisms and an infra-annular abscess

2020 ◽  
Author(s):  
Javier Rodriguez Lega ◽  
Uxue Murgoitio Esandi ◽  
Angel Gonzalez Pinto
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Infective Endocarditis ◽  
Postoperative Period ◽  
Clinical Presentation ◽  
Pulmonary Valve ◽  
Drug Abusers ◽  
Valvular Surgery ◽  
The Right ◽  
Annular Abscess

Infective endocarditis is nowadays one of the main indications for valvular surgery. When occurring in the right chambers of the heart, the tricuspid valve is the most commonly affected. Although this disease is usually present in injecting-drug abusers or patients with other predisposing risk factors, the incidence of native pulmonary valve infective endocarditis is the least frequent. This case report presents a 51-year-old patient with no relevant medical history that was admitted to our institution with sepsis. Further studies revealed a native pulmonary valve infective endocarditis complicated with infra-annular abscess and pulmonary septic embolisms. The following describes the clinical presentation of the case, echocardiograms, the surgical procedure, and the postoperative period. To date, few cases of native pulmonary valve infective endocarditis with no previous risk factors have been reported.

Left hemitruncus with normal right-sided pressures in an adult

2013 ◽  
Vol 24 (5) ◽  
pp. 926-928 ◽  
Author(s):  
Arima Nigam ◽  
Vijay Trehan
Keyword(s):  
Congenital Heart Disease ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Rare Case ◽  
Congenital Heart ◽  
Left Pulmonary Artery ◽  
Ascending Aorta ◽  
Anomalous Origin ◽  
Right Pulmonary Artery ◽  
The Right

AbstractHemitruncus is a rare congenital heart disease. Anomalous origin of the left pulmonary artery is not only rare but also pathogenetically different from anomalous origin of the right pulmonary artery from the ascending aorta. In most cases in isolated hemitrucus pressures in the right ventricle and the normally originating pulmonary artery are systemic or suprasystemic. We present a rare case of anomalous origin of the left pulmonary artery from the ascending aorta diagnosed in an adult with normal pressures in the right ventricle and normally originating pulmonary artery. To the best of our knowledge, this unique haemodynamics has never been reported in the literature.

Ligation of a Fistula between the Left Main Coronary Artery and Both the Pulmonary Artery and the Right Ventricle

2012 ◽  
Vol 15 (2) ◽  
pp. 119 ◽  
Author(s):  
I. Halil Algin ◽  
Aytekin Yesilay ◽  
N. Murat Akcar
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Left Main Coronary Artery ◽  
Coronary Artery Fistula ◽  
Left Main ◽  
Symptomatic Disease ◽  
Coronary Artery Fistulas ◽  
The Right

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.

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