Pulmonary Valve Endocarditis with Septic Pulmonary Thromboembolism in a Patient with Ventricular Septal Defect.
10.4250/jcu.2009.17.4.138
- Author:
Hyo Eun PARK
1
;
Goo Yeong CHO
;
Hyung Kwan KIM
;
Yong Jin KIM
;
Dae Won SOHN
Author Information
1. Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea. cardioch@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Pulmonary valve;
Endocarditis;
Ventricular septal defect
- MeSH:
Adult;
Anti-Bacterial Agents;
Dyspnea;
Emergencies;
Endocarditis;
Heart Septal Defects, Ventricular;
Humans;
Pneumonia;
Pulmonary Embolism;
Pulmonary Valve;
Pulmonary Valve Insufficiency;
Sepsis;
Shock, Septic
- From:Journal of Cardiovascular Ultrasound
2009;17(4):138-140
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe a 42-year-old man who presented as life-threatening sepsis and septic shock with multiple septic pulmonary embolism and septic pneumonia due to pulmonary valve endocarditis. The patient had history of untreated ventricular septal defect (VSD) and complained of severe dyspnea and orthopnea. Transthoracic and transesophageal echocardiograms revealed severe pulmonary regurgitation with large, hypermobile vegetation on pulmonary valve and right ventricular outflow tract (RVOT), and a small subarterial type VSD. Emergency operation was done due to rapid deterioration of the patient, and after 6 weeks of antibiotics coverage, he was discharged.
