Korean J Thorac Cardiovasc Surg.  2002 Sep;35(9):680-683.

Active Infective Endocarditis with Vegetation of Right Atrium in Patient with End-stage Renal Disease

• Kim CY
• Ahn H

Abstract

Infective endocarditis that involves the right side of the heart has been estimately 5% of all cases of infective endocarditis. It has been shown that about 70% of right-sided heart infective endocarditis cases have preexisting congenital heart disease or acquired valvular lesion. It would occur in intravenous drug users or end-stage renal disease patients with indwelling venous dialysis catheter. Antibiotic therapy is more effective in the right and, when it fails, the consequence of valve disruption and emboli are less. Patients receiving long-term hemodialysis are a unique population with regard in the risk of bacteremia and subsequent infective endocarditis. We experienced one case of the active infective endocarditis with right atrial vegetation without tricuspid or pulmonary valve involvement in patient with end-stage renal disease receiving long-term hemodialysis, who needed surgical correction after medical treatment failure. Then we reported it with references that right-sided heart infective endocarditis is rare, but difficult to diagnose, life-threatening because of delayed medical treatment

Keyword

Endocarditis, Infective; Chronic renal failure

MeSH Terms

Bacteremia
Catheters
Dialysis
Drug Users
Endocarditis*
Heart
Heart Atria*
Heart Defects, Congenital
Humans
Kidney Failure, Chronic*
Pulmonary Valve
Renal Dialysis
Treatment Failure