Two Cases of Pulmonary Homograft Replacement for Isolated Pulmonary Valve Endocarditis

Dayan, Víctor; Gutierrez, Fabio; Cura, Leandro; Soca, Gerardo; Lorenzo, Alvaro

doi:10.1016/j.athoracsur.2008.10.048

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…A systematic review by Zhao and colleagues of 168 cases of SPE and corresponding CT imaging demonstrated unique characteristics of SPEs that included multiple bilateral nodules and patchy infiltrates that frequently occur near the pleura. Bilateral pleural effusions were also identified in approximately 30% of patients [ 3 ]. Although these findings do not exclude TPE based on CT imaging, combining the patient's history of IVDA, symptoms, and other imaging data will help accurately determine the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…This study also demonstrated that 52% of patients had evidence of right heart vegetations echocardiography, with the tricuspid valve most commonly involved. Positive findings on echocardiography with consistent CT imaging are highly supportive of the diagnoses of SPE [ 3 ]. This case demonstrates the importance of integrating all available data in the context of the patient's history with particular awareness of the subtle difference of SPEs from TPEs on CT imaging.…”

Section: Discussionmentioning

confidence: 99%

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Fungal Pulmonary Valve Endocarditis Masquerading as a Pulmonary Embolism

Ricci

Lee

Essandoh

et al. 2015

Case Reports in Surgery

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Septic pulmonary emboli (SPE) can be a difficult clinical entity to distinguish from thromboembolic pulmonary embolism (TPE) in a patient with history of IV drug abuse (IVDA). We present a case of a patient who presented with failure to thrive and presumed diagnosis of recurrent PE that ultimately was discovered to have fungal pulmonary valve endocarditis resulting in a right ventricular outflow obstruction. This required replacement of the pulmonary valve and repair of the right ventricular outflow tract. This case highlights difficulty in differentiating pulmonary valve endocarditis with septic emboli from chronic PE in a patient with a complex medical history.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fungal Pulmonary Valve Endocarditis Masquerading as a Pulmonary Embolism

Ricci

Lee

Essandoh

et al. 2015

Case Reports in Surgery

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“…Surgical techniques, i.e., 'prosthetic' valve implantation, have been reported with satisfactory results 15). Considering that prosthetic valve replacement theoretically exposes the patients to valve-related complications and to some risk of recurrent endocarditis, 'non-prosthetic' surgical techniques with pulmonary valve repair using autologous pericardial patch were applied with satisfactory outcomes 14).…”

Section: Discussionmentioning

confidence: 99%

Streptococcus ConstellatusCommunity Acquired Pneumonia with Subsequent Isolated Pulmonic Valve Endocarditis and Abscess Formation in a Structurally Normal Heart

Elhussein

Hutchison

2014

J Cardiovasc Ultrasound

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Pulmonic valve infective endocarditis in isolation is a rare clinical entity. The formation of an abscess in the right ventricular outflow tract as a consequence of vegetations affecting the pulmonic valve in a structurally normal heart is extremely rare and has not been reported. We report a case of isolated pulmonic valve endocarditis complicated by a regional abscess formed within the right ventricular outflow tract caused by Streptococcus Constellatus (S. Constellatus), a member of the Streptococcus Milleri group in a young male whose risk factor was alcohol abuse and he was treated medically, a comprehensive literature review on the subject is also reported. Our case is the first reported in literature with infective endocarditis caused by S. Constellatus affecting the pulmonic valve, and the first with pulmonic valve endocarditis and perivalvular abscess formation in a structurally normal heart.

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“…Indications for surgery include persistent fever despite adequate antibiotic treatment, repetitive pulmonary emboli and pulmonary valve vegetations, which were all present in the patients. Regarding the surgical techniques for IPE, 'prosthetic' surgical techniques have been reported with satisfactory results [4]. Considering that prosthetic valve replacement theoretically exposes the patients to valve-related complications and to some risk of recurrent endocarditis, 'non-prosthetic' surgical techniques with pulmonary valve repair using autologous pericardial patch were applied to these patients.…”

Section: Discussionmentioning

confidence: 99%

Surgical valve repair of isolated pulmonary valve endocarditis

Deng¹,

Ma²,

Zhai³

et al. 2012

Interactive CardioVascular and Thoracic Surgery

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Isolated pulmonary valve endocarditis (IPE) is an uncommon clinical entity. We reported 4 cases of IPE without underlying heart diseases that required surgical interventions. Two of the present patients had predisposing factors that included a history of abdominal surgery in Case 1 and intravenous drug abuse in Case 3. All four patients presented with persistent fever together with pulmonary symptoms despite appropriate antibiotic management. Three of the patients underwent elective pulmonary valve repair, but Case 3 underwent an urgent surgical intervention due to uncontrolled septic shock. Pulmonary valve repair was performed using autologous pericardial patch in all 4 patients. All of them had immediate postoperative recovery and satisfactory outcomes in the follow-up.

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Two Cases of Pulmonary Homograft Replacement for Isolated Pulmonary Valve Endocarditis

Cited by 9 publications

References 9 publications

Fungal Pulmonary Valve Endocarditis Masquerading as a Pulmonary Embolism

Fungal Pulmonary Valve Endocarditis Masquerading as a Pulmonary Embolism

Streptococcus ConstellatusCommunity Acquired Pneumonia with Subsequent Isolated Pulmonic Valve Endocarditis and Abscess Formation in a Structurally Normal Heart

Surgical valve repair of isolated pulmonary valve endocarditis

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