| Tricuspid valve endocarditis due to a jet lesion detected by echocardiography in a 27-year old man with congenital ventricular septal defect. | |
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MedLine Citation:
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PMID: 8941695 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The case of an non-addict young caucasian with isolated tricuspid valve endocarditis in congenital ventricular septal defect (VSD) is presented. Despite antibiotic treatment the patient suffered from recurrent right sided pneumonias. A computed tomography of the chest revealed an abscess localized in the right lower lung with signs of cavitation. Echocardiography identified a vegetation located at the anterior tricuspid leaflet due to a jet lesion through the VSD. ECG-gated MRI revealed normal left ventricular function and localized the septal defect and a jet against the anterior tricuspid valve leaflet. The patient underwent open heart surgery and the VSD was closed. Now, two years later, the patient is free from any symptoms or complications. This case illustrates that noninvasive techniques like echocardiography and ECG-gated MRI can not only accurately image cardiac anatomy in patients with ventricular septal defect but additionally provide information about the pathomechanism of the development of jet lesions resulting in valvular vegetations. Operative correction of underlying cardiac disease in nonaddicts with complicating tricuspid valve endocarditis might be a favourable treatment especially when antibiotic treatment fails to cure the infection. |
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Authors:
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I Spyridopoulos; U Helber; C Mewis; W Voelker; B Steinhilber; H J Schulze; P Huppert; H M Hoffmeister |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 37 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1997-01-02 Completed Date: 1997-01-02 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: ITALY |
Other Details:
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Languages: eng Pagination: 517-20 Citation Subset: IM |
Affiliation:
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Department of Cardiology, University of Tuebingen, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Echocardiography* Endocarditis, Bacterial / etiology*, microbiology, ultrasonography* Heart Septal Defects, Ventricular / complications*, surgery Humans Magnetic Resonance Imaging / methods Male Staphylococcal Infections / etiology, ultrasonography Streptococcal Infections / etiology, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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