A Case of Right Ventricular Infundibular and Pulmonic Valve Infective Endocarditis.
10.4070/kcj.1996.26.1.149
- Author:
Jeong Il JEONG
;
Joon Han SHIN
;
Won KIM
;
Yoon Kyeong CHO
;
Han Min LEE
;
Han Soo KIM
;
Seung Jae TAHK
;
Byung Il CHOI
- Publication Type:Case Report
- Keywords:
Infective endocarditis;
RV infundibulum
- MeSH:
Constriction, Pathologic;
Endocarditis*;
Endocardium;
Heart Septal Defects, Ventricular;
Humans;
Infarction;
Lung;
Male;
Pulmonary Embolism;
Viridans Streptococci;
Young Adult
- From:Korean Circulation Journal
1996;26(1):149-154
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of right-sided infective endocarditis in a 22-year-old male with ventricular septal defect of perimembranous type, right ventricular(RV) infundibular and pulmonic valve stenosis was reported. The vegetations were found on the mural endocardium of RV infundibulum and pulmonic valve. Streptococcus viridans was identified in 5 consecutive blood cultures, Pulmonary embolism and septic infarction in the lung was associated with systemic embolization, which was manifested by left renal infarction. The RV infundibular stenosis was due to anomalous muscle bundle at the proximal portion. Therefore, we thought that the mechanism of RV infundibular vegetation was probably due to 'Venturi effect and turbulence'. Several clinical features which were found in this case were also reviewed.
