Embolies pulmonaires multiples compliquant une endocardite infectieuse sur cardiopathie congénitale

Background Hemoptysis is a rare symptom associated with endocarditis. We describe the unusual clinical manifestation of endocarditis on regurgitant bicuspid aortic valve and (probably) secondarily on a perimembranous VSD as massive hemoptysis. Case Summary A 24-yr-old male with aortic coarctation, bicuspid aortic valve, and ventricular septal defect (VSD) since birth. Previously asymptomatic, he came after an episode of hemoptysis. A computed tomography (CT) scan showed a cavitated lesion in lung. Streptococo viridans was identified in serial blood cultures. Transthoracic echocardiography (TTE) showed a bicuspid aortic valve with vegetations, suggesting infectious involvement, and severe aortic insufficiency. Transesophageal echocardiography (TEE) study showed a bicuspid aortic valve with complete fusion of coronary valves. An elongated oscillating tumor, 9.5 mm in length, was observed in the center of the ventricular side of the non-coronary valve. Another vegetation was seen on the VSD. During his hospital stay and under antibiotic treatment, he reported abdominal pain. CT examination showed splenic infarction. In the echocardiogram no vegetation masses were observed on the aortic valve or on the VSD closure aneurysm. Discussion The main debate about this patient’s treatment concerned the indication of surgery, especially after the onset of fever with splenic septic embolism while under appropriate antibiotic treatment. He was stable, with no signs of heart failure and the echocardiogram repeated after the septic splenic embolism showed no residual vegetations on the aortic valve or VSD, and the TEE study ruled out a local complication. Finally, the multidisciplinary team decided against surgical management.

show abstract

Infective endocarditis on interventricular communication as cause of massive haemoptysis: a case report

Torres

Rodríguez

Escobar

et al. 2022

European Heart Journal - Case Reports

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Embolies pulmonaires multiples compliquant une endocardite infectieuse sur cardiopathie congénitale

Cited by 1 publication

References 13 publications

Infective endocarditis on interventricular communication as cause of massive haemoptysis: a case report

Infective endocarditis on interventricular communication as cause of massive haemoptysis: a case report

Contact Info

Product

Resources

About