Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review.
J Cardiothorac Surg
; 16(1): 16, 2021 Jan 28.
Article
en En
| MEDLINE
| ID: mdl-33509229
ABSTRACT
BACKGROUND:
Isolated pulmonary valve endocarditis (IPE) is rare, accounting for 1.5-2% of all cases of infective endocarditis. Herein, we describe a case of isolated pulmonary valve endocarditis with rapid progression in a 28-year-old male. Unlike most patients reported previously who were cured with only anti-infective therapy, without surgery at an early stage, multiple complications occurred in this patient in less than 2 weeks. CASE PRESENTATION The patient was diagnosed with pulmonary valve endocarditis with blood cultures showing Staphylococcus aureus and echocardiography revealing 2 masses (measuring 14*13 mmã11*16 mm in size). Only 12 days later, acute massive pulmonary embolism occurred. Then, repeated echocardiography revealed multiple masses attached to the pulmonary valve with severe pulmonary insufficiency and the possibility of pulmonary valve destruction. Finally, pulmonary valve replacement, vegetation removal, and right pulmonary thromboendarterectomy together with resection of the middle and lower lobes of the right lung were performed.CONCLUSIONS:
The role of surgery at an early stage might need to be reconsidered, and it may be viable to combine medical and surgical approaches.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Válvula Pulmonar
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Infecciones Estafilocócicas
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Staphylococcus aureus
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Endocarditis Bacteriana
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Procedimientos Quirúrgicos Cardíacos
Tipo de estudio:
Systematic_reviews
Límite:
Adult
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Humans
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Male
Idioma:
En
Revista:
J Cardiothorac Surg
Año:
2021
Tipo del documento:
Article
País de afiliación:
China