Document Detail

An unusual case of infective endocarditis: extension of a tricuspid valve vegetation into the left atrium through a patent foramen ovale.
MedLine Citation:
PMID:  19584975     Owner:  NLM     Status:  MEDLINE    
Tricuspid valve endocarditis frequently occurs in the setting of intravenous drug use. A case of tricuspid valve endocarditis in a 37-year-old woman with a history of intravenous cocaine use is described. Transthoracic echocardiography showed extension of the tricuspid valve mass through a patent foramen ovale and into the left atrium. One week after intravenous antibiotic treatment, the mass no longer traversed the patent foramen ovale, and only two smaller tricuspid valve vegetations remained. The present case demonstrates the value of performing a complete and thorough transthoracic echocardiography to visualize and evaluate both the right- and left-sided consequences of infective endocarditis in intravenous drug users. It also serves as a useful reminder to physicians caring for such patients that right sided endocarditis can have important left-sided complications.
Amer M Johri; Katherine A Kovacs; Henryk Kafka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  25     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-08     Completed Date:  2009-07-31     Revised Date:  2010-09-27    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  429-31     Citation Subset:  IM    
Division of Cardiology, Queen's University, Kingston, Ontario.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Cocaine-Related Disorders / complications*
Endocarditis / drug therapy,  microbiology,  physiopathology*,  ultrasonography
Foramen Ovale, Patent* / complications,  ultrasonography
Heart Atria / pathology*
Tricuspid Valve / microbiology,  physiopathology*,  ultrasonography
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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