A rare case of native pulmonary valve infective endocarditis complicated by septic pulmonary embolism

2019 ◽  
Vol 20 (3) ◽  
pp. 152-155
Author(s):  
Andrea Sonaglioni ◽  
Giulia Binda ◽  
Elisabetta Rigamonti ◽  
Antonio Vincenti ◽  
Roberta Trevisan ◽  
...  
2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Mason Montano ◽  
Kevin Lee ◽  
Kushal Patel ◽  
Mutsumi Kioka

The following report illustrates a case of a 36-year-old Caucasian male with intravenous drug use (IVDU) induced septic thrombophlebitis presenting with recurrent unilateral pneumothoraces from septic pulmonary embolism (SPE) without the presence of obvious right-sided valvular vegetation in infective endocarditis (IE), defined as tricuspid or pulmonary valve lesions. Pneumothorax (PTX) has been observed as a rare complication of SPE and is commonly associated with infective right-sided IE, IVDU, and intravascular indwelling catheters. However, this case is novel as it is the very rare documented case of recurrent, unilateral, spontaneous right PTX refractory to multiple chest tube placements in such a setting. Therefore, the absence of detectable right-sided valvular vegetation in IE does not obviate the risk of SPE-induced PTX in IVDU and further expands the realm of infectious and pulmonary consequences of SPE and IVDU.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Abdelrahmen Abdelbar ◽  
Raed Azzam ◽  
Kok Hooi Yap ◽  
Ahmed Abousteit

We present a case of a fifty-three-year-old male who presented with severe sepsis. He had been treated as a pneumonia patient for five months before the admission. Investigations revealed isolated pulmonary valve endocarditis and septic pulmonary embolism in addition to undiagnosed right ventricular outflow tract (RVOT) obstruction. The patient underwent surgery for the relief of RVOT obstruction by substantial muscle resection of the RVOT, pulmonary artery embolectomy, pulmonary valve replacement, and reconstruction of RVOT and main pulmonary artery with two separate bovine pericardial patches. He was discharged from our hospital after 6 weeks of intravenous antibiotics. He recovered well on follow-up 16 weeks after discharge. A high-suspicion index is needed to diagnose right-side heart endocarditis. Blood cultures and transesophageal echocardiogram are the key diagnostic tools.


2020 ◽  
Vol 6 (1) ◽  
pp. 69-72
Author(s):  
Cindarwati Mega Riyanto ◽  
Anggoro Budi Hartopo ◽  
Dyah Wulan Anggrahini ◽  
Lucia Kris Dinarti

Right-sided infective endocarditis (IE) is very rare and mostly occurs in the tricuspid valve, which pulmonary valve involvement in very rare. Most IE of the pulmonary valve occurs in patients with congenital heart defects. we report a case of the complications of pulmonary valve IE and pulmonary embolism which then causes pulmonary infarction in patients with VSD who have not been corrected. This case successfully underwent surgery for endocarditis/vegetation removal and septal defect closure.


2014 ◽  
Vol 53 (11) ◽  
pp. 1215-1220 ◽  
Author(s):  
Kazuho Morichika ◽  
Sawako Nakachi ◽  
Takeaki Tomoyose ◽  
Natsuki Shimabukuro ◽  
Keita Tamaki ◽  
...  

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
D Toader ◽  
A Craciun Mirescu ◽  
M Cocora ◽  
O Munteanu ◽  
E R Mustafa ◽  
...  

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.


2013 ◽  
Vol 34 (2) ◽  
pp. 145-147 ◽  
Author(s):  
Vellasamy Prakash ◽  
Sriram Krishnamurthy ◽  
Subramanian Mahadevan ◽  
Adhisivam Bethou ◽  
S. Deepak Barathi

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 ◽  
...  

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.


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