J Cardiovasc Ultrasound.  2017 Sep;25(3):105-106. 10.4250/jcu.2017.25.3.105.

Streptococcus sanguinis Endocarditis Involving All Valves in a Patient with Ventricular Septal Defect

Affiliations
  • 1Wiltshire Cardiac Centre, Great Western Hospital, Swindon, UK. christosazivlas@hotmail.com

Abstract

No abstract available.

Keyword

Infective endocarditis; Ventricular septal defect; Streptococcus sanguinis; Transoesophageal echocardiography

MeSH Terms

Endocarditis*
Heart Septal Defects, Ventricular*
Humans
Streptococcus*

Figure

  • Fig. 1 Infective endocarditis involving all valves and the VSD. Transoesophageal echocardiogram revealed vegetations on both anterior and posterior mitral valve leaflets (arrowheads) (A). Long axis view of the aortic valve detected a small vegetation on the non-coronary cusp (arrow) (B). Mid-oesophageal view (30–60°) of the tricuspid valve revealed a vegetation (arrowhead) (C). Mid-oesophageal view (45–60°) depicted a small vegetation on the pulmonary valve (arrowhead) (D). 3D-echocardiography of the VSD (arrowheads) and the vegetation associated with it (*) (E). 3D-echocardiography multiplane review of the vegetation associated with the VSD (F). Transoesophageal colour-compare mode that illustrates the jet from the VSD (*) that abuts the pulmonary valve (arrowhead) (G). VSD: ventricular septal defect.


Reference

1. Ramadan FB, Beanlands DS, Burwash IG. Isolated pulmonic valve endocarditis in healthy hearts: a case report and review of the literature. Can J Cardiol. 2000; 16:1282–1288.
2. Kolenbrander PE, Ganeshkumar N, Cassels FJ, Hughes CV. Coaggregation: specific adherence among human oral plaque bacteria. FASEB J. 1993; 7:406–413.
3. Turner LS, Kanamoto T, Unoki T, Munro CL, Wu H, Kitten T. Comprehensive evaluation of Streptococcus sanguinis cell wall-anchored proteins in early infective endocarditis. Infect Immun. 2009; 77:4966–4975.
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