RESUMEN
Tetralogy of Fallot is the most common cyanotic congenital heart defect consisting of an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. Without surgical management, approximately only 3% of patients survive past the age of 40 years. Cases of unoperated patients reaching adulthood have been reported; however, few studies describe treatment guidelines for surgical or therapeutic management. In this article, we report the case of a 59-year-old Hispanic male with unoperated tetralogy of Fallot presenting to our cardiology clinic for initial workup and management.
Asunto(s)
Tetralogía de Fallot/fisiopatología , Tetralogía de Fallot/terapia , Anticoagulantes/uso terapéutico , Fibrilación Atrial/diagnóstico , Cateterismo Cardíaco , Manejo de la Enfermedad , Complejo de Eisenmenger/diagnóstico , Complejo de Eisenmenger/patología , Electrocardiografía , Humanos , Hipertensión Pulmonar/diagnóstico , Hipertrofia Ventricular Derecha/diagnóstico , Hipertrofia Ventricular Derecha/patología , Masculino , Persona de Mediana Edad , Radiografía Torácica , Sobrevivientes , Tetralogía de Fallot/diagnósticoRESUMEN
Pulmonary autograft, or Ross procedure, is performed by supplanting a diseased aortic valve with the patient's own pulmonary valve. Reconstruction of the right ventricular outflow tract is then completed using a pulmonary homograft. To our knowledge, infective endocarditis occurring decades after the Ross procedure has not been reported. Diligent echocardiographic examination can be crucial to ensure prompt treatment and avoid the 25% mortality rate associated with infective endocarditis. Clinical suspicion should remain high in those with a pulmonary autograft history. In this article, we report the case of a 39-year-old patient with infective endocarditis presenting 22 years after Ross procedure.
Asunto(s)
Válvula Aórtica/cirugía , Endocarditis Bacteriana/diagnóstico , Endocarditis Bacteriana/cirugía , Válvula Pulmonar/cirugía , Adulto , Antibacterianos/uso terapéutico , Endocarditis Bacteriana/tratamiento farmacológico , Femenino , Enfermedades de las Válvulas Cardíacas/cirugía , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Humanos , Infecciones Relacionadas con Prótesis/cirugía , Reoperación , Factores de Tiempo , Trasplante Homólogo , Resultado del TratamientoRESUMEN
Infective endocarditis is associated with high morbidity and mortality. Hence, early diagnosis and prompt intervention is crucial. Multivalvular endocarditis involving 3 or more valves is rarely reported with little information regarding best management or prognosis, particularly in nonsurgical patients. Conflicting guidelines regarding medical versus surgical treatment in multivalvular endocarditis exist with few studies describing the outcome of medically managed patients. We report the case of a previously healthy male presenting with infective endocarditis involving 3 valves further complicated by multiple septic emboli and deemed a nonsurgical candidate.
Asunto(s)
Antibacterianos/uso terapéutico , Endocarditis Bacteriana/diagnóstico , Endocarditis Bacteriana/tratamiento farmacológico , Válvulas Cardíacas/microbiología , Streptococcus mutans/aislamiento & purificación , Embolia/diagnóstico , Embolia/microbiología , Endocarditis Bacteriana/microbiología , Humanos , Masculino , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
Persistent left superior vena cava is the most common congenital anomaly of thoracic venous return, which results when the left anterior cardinal vein fails to regress. A 41-year-old African American male with a history of an unspecified childhood cardiac murmur presented to the emergency department with congestive heart failure exacerbation revealing an incidental finding of a persistent left superior vena cava. Ultimately, he required implantable cardioverter defibrillator placement and cardiac transplantation assessment. In the setting of advanced device placement or cardiac transplantation, a persistent left superior vena cava warrants several important clinical considerations at a center capable of addressing the possibility of a right-sided approach and transplantation irregularities.