Yeungnam Univ J Med.  1985 Dec;2(1):241-247. 10.12701/yujm.1985.2.1.241.

A Case Report of Ventricular Septal Defect with Bacterial Endocarditis and Pulmonic Valve Vegetation

• Park WC
• Kim YJ
• Sim BS
• Kim CS
• Lee DH
• Lee CJ
• Cho BK

• KMID: 2373032
• DOI: http://doi.org/10.12701/yujm.1985.2.1.241

Abstract

Bacterial endocarditis has been well recognized as an important complication of congenital heart disease, such as ventricular septal defect, patent ductus arteriosus or pulmonary stenosis. The incidence of right sided bacterial endocarditis is lesser than left sided bacterial endocarditis. Also, pulmonic valve vegetation has been thought to be relatively uncommon. So in a patient with fever and evidence of recurrent pulmonary infarction, changing heart murmurs and scattered pneumonic infiltrates, one should direct attention to the heart as a possible source of the infection. Echocardiography with M-mode, 2-D and Doppler mode represents the only noninvasive technic available for detecting vegetations in bacterial endocarditis. In fact, the technic is more sensitive in identifying these lesions than angiography. We experienced a case of ventricular septal defect with bacterial endocarditis, pulmonic valve vegetation and multiple pulmonary embolism diagnosed with Echocardiogram and lung scan, and confirmed by operation. Patch repair of ventricular septal defect, resection of pulmonic valve and vegetation and artificial valve formation with pericardium were done.

MeSH Terms

Angiography
Ductus Arteriosus, Patent
Echocardiography
Endocarditis, Bacterial*
Fever
Heart
Heart Defects, Congenital
Heart Murmurs
Heart Septal Defects, Ventricular*
Humans
Incidence
Lung
Pericardium
Pulmonary Embolism
Pulmonary Infarction
Pulmonary Valve Stenosis