Document Detail

Ventricular septal perforation caused by right-sided infective endocarditis associated with giant vegetation.
MedLine Citation:
PMID:  20172166     Owner:  NLM     Status:  MEDLINE    
A 71-year-old man presented with general fatigue associated with syncope and fever, and was admitted to our hospital and treated with antibiotics for pneumonia. On day 10 after admission, cardiac echocardiography showed a ventricular septal perforation and giant vegetation floating in the right ventricle near the tricuspid valve, which had not been detected at the time of admission. An emergency operation (including vegetation excision, debridement, ventricular septal perforation patch closure, and tricuspid valve replacement) was performed. A permanent pacemaker was implanted on postoperative day 34, and the patient was discharged without any complications. A culture of the excised vegetation and blood culture revealed methicillin-susceptible Staphylococcus aureus. There has been no previous report of a presenting ventricular septal perforation caused by right-sided infective endocarditis.
Masato Furui; Takeki Ohashi; Takeshi Yoshida; Fujihiro Oka; Yasutaka Hirai; Nozomu Ohyoshi; Akinori Kojima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  959-61     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Cardiovascular Surgery Department, Ogaki Tokushukai Hospital, Ogaki-city, Gifu, Japan.
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MeSH Terms
Endocarditis, Bacterial / complications*,  diagnosis,  surgery
Heart Ventricles
Staphylococcal Infections / diagnosis
Ventricular Septal Rupture / diagnosis,  etiology*,  surgery

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