scholarly journals An Unusual Case of Endocarditis: Isolated Pulmonary Valve Endocarditis in Patient With Patent Ductus Arteriosus

2012 ◽  
Author(s):  
Tekin
Keyword(s):  
Patent Ductus Arteriosus ◽  
Unusual Case ◽  
Pulmonary Valve ◽  
Ductus Arteriosus ◽  
Patent Ductus

Pulmonary atresia with intact septum: the use of Conquest Pro coronary guidewire for perforation of atretic valve and subsequent interventions

2012 ◽  
Vol 23 (2) ◽  
pp. 197-202 ◽  
Author(s):  
Mazeni Alwi ◽  
Rahmat R. Budi ◽  
Marhisham Che Mood ◽  
Ming C. Leong ◽  
Hasri Samion
Keyword(s):  
Patent Ductus Arteriosus ◽  
Balloon Dilatation ◽  
Pulmonary Valve ◽  
Ductus Arteriosus ◽  
Pulmonary Atresia ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
Total Occlusion ◽  
Patent Ductus

AbstractObjectiveTo determine the feasibility and safety of the Conquest Pro wire as an alternative to radiofrequency wire for perforation of atretic pulmonary valve and subsequent balloon dilatation and patent ductus arteriosus stenting in patients with pulmonary atresia with intact ventricular septum.BackgroundRadiofrequency valvotomy and balloon dilatation has become the standard of care for pulmonary atresia with intact ventricular septum in many institutions today.MethodsWe report eight consecutive patients in whom we used the Conquest Pro coronary guidewire, a stiff wire normally reserved for revascularisation of coronary lesions with chronic total occlusion, for perforation of atretic pulmonary valve and subsequent balloon dilatation, and stenting of the patent ductus arteriosus.ResultsPerforation of atretic pulmonary valve was successful in seven out of eight cases. Radiofrequency valvotomy was employed after failure of perforation by the Conquest Pro wire in one case where the right ventricular outflow tract was broad based and tapered towards the pulmonary valve, and was heavily trabeculated. Failure of the Conquest Pro wire to perforate the pulmonary valve plate was mainly attributed by the failure to engage the wire at the correct position.ConclusionThe Conquest Pro wire for perforation and subsequent interventions in the more straightforward cases of pulmonary atresia with intact ventricular septum is effective and safe, simplifying the entire procedure. However, the radiofrequency generator and wires remain essential tools in the paediatric interventional catheter laboratory.

Severe Hemolysis after Implantation of a Rashkind Occluder in a Large Ductus

1997 ◽  
Vol 5 (1) ◽  
pp. 56-58
Author(s):  
Jonathan KS Ho ◽  
Anthony PC Yim ◽  
Janet FY Lee ◽  
Lawrence KK Tse ◽  
Gary YK Mak ◽  
...  
Keyword(s):  
Young Adult ◽  
Patent Ductus Arteriosus ◽  
Adult Female ◽  
Conservative Management ◽  
Unusual Case ◽  
Ductus Arteriosus ◽  
Patent Ductus

We report an unusual case of severe mechanical hemolysis after implantation of a 17-mm Rashkind patent ductus arteriosus occluder in a young adult female with a large ductus. The device failed with conservative management, including implantation of a second occluder, and surgery was required to close the ductus. This occluder may not be suitable for closure of a large patent ductus arteriosus.

A Case of Patent Ductus Arteriosus Associated with Pulmonary Valve Endocarditis

2006 ◽  
Vol 14 (1) ◽  
pp. 33 ◽  
Author(s):  
Sang Hee Kim ◽  
Hyun Young Woo ◽  
Jick Hwan Ha ◽  
Won Chul Kim ◽  
Youn Suk Choi ◽  
...  
Keyword(s):  
Patent Ductus Arteriosus ◽  
Pulmonary Valve ◽  
Ductus Arteriosus ◽  
Patent Ductus

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.

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