Right Ventricular Endocarditis in a Pregnant Woman with a Restrictive Ventricular Septal Defect |
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Authors: | Laurianne Le Gloan MD Line Leduc MD Eileen O'Meara MD Paul Khairy MD PhD Annie Dore MD |
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Affiliation: | 1. Adult Congenital Heart Disease Centre, Montreal Heart Institute;2. Department of Obstetrics & Gynaecology, Sainte Justine Hospital, Université de Montréal, Montreal, QC, Canada |
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Abstract: | A 22‐year‐old woman with a restrictive unoperated perimembranous ventricular septal defect was diagnosed with staphylococcal endocarditis during her 14th week of pregnancy. Echocardiography revealed a long, thin, and mobile vegetation along the right ventricular free wall that increased to 8 cm in length, with systolic protrusion across the pulmonary valve. The vegetation subsequently embolized, resulting in a pulmonary abscess. She responded favorably to intravenous antibiotic therapy maintained for a total of 6 weeks, with resolution of the intracardiac mass and pulmonary abscess. The remaining peripartum and postpartum course was relatively unremarkable. Percutaneous closure of the ventricular septal defect was successfully performed postpartum. |
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Keywords: | Echocardiography Infective Endocarditis Ventricular Septal Defect |
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