Ventricular Septal Perforation Caused by Right-Sided Infective Endocarditis Associated With Giant Vegetation

Furui, Masato; Ohashi, Takeki; Yoshida, Takeshi; Oka, Fujihiro; Hirai, Yasutaka; Ohyoshi, Nozomu; Kojima, Akinori

doi:10.1016/j.athoracsur.2009.07.054

The Annals of Thoracic Surgery

2010

DOI: 10.1016/j.athoracsur.2009.07.054

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Ventricular Septal Perforation Caused by Right-Sided Infective Endocarditis Associated With Giant Vegetation

Masato Furui¹,

Takeki Ohashi²,

Takeshi Yoshida³

et al.

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Cited by 3 publications

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“…The authors of previous reports mentioned that endocarditis may be complicated by abscess formation, [6] which itself may be complicated by myocardial rupture. Although rupture has occasionally been reported in association with S. aureus endocarditis [7], its occurrence seems to be quite rare. One may also hypothesize that the rupture resulted from bacteremia-induced myocarditis, although this scenario has only been observed on very rare occasions.…”

mentioning

confidence: 99%

Allergy to transdermal fentanyl resulting in Staphylococcus aureus sepsis and fatal endocarditis with myocardial rupture

Finsterer

Dumser

2016

Médecine et Maladies Infectieuses

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mentioning

confidence: 99%

Allergy to transdermal fentanyl resulting in Staphylococcus aureus sepsis and fatal endocarditis with myocardial rupture

Finsterer

Dumser

2016

Médecine et Maladies Infectieuses

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Delayed ventricular septal perforation caused by minimal branches occlusion during coronary artery stenting

Fujii

Tsuchihashi

Nishida

et al. 2013

Cardiovasc Interv and Ther

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A 75-year-old woman was admitted to our hospital with stable effort angina pectoris. The coronary angiogram showed 90 % stenosis at the left anterior descending artery and stenting was successfully performed. Three months later, a newly audible systolic heart murmur was heard. Computed tomography revealed a ventricular septal perforation. Coronary angiogram immediately after stenting showed major septal branch was intact but two small septal branches were occluded. In the angiography after septal perforation occurred, these small septal branches remained occluded and stent restenosis was not observed. The ventricular septal perforation was presumed to be due to occlusions of minimal septal branches.

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Isolated Right-Sided Infective Endocarditis—An Infected Right Ventricular Myxoma Masquerading as “Tricuspid Vegetation”—A Case Report

Muthiah¹

2018

CRCM

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Aim: To report a case of right ventricular myxoma prolapsing through the tricuspid valve with an attachment of vegetation in a 3-year-old male child. Introduction: Right-sided endocarditis commonly involves the tricuspid valve. Low pressure and low oxygen saturation in the right sided cardiac chambers protect the tricuspid and pulmonary valves from being subjected to excessive strained and damage occurs from injected particulate matter, contaminated venous lines and drug solutions causing endocarditis. RV (right ventricular) myxoma harboured the infection due to trauma as a result of friction movement across the tricuspid valve. Case Report: A 3-year-old male child having the spikes of fever for 2 weeks, presented with tumor "plop" and 3/6 systolic murmur in lower left sternal border and echocardiography revealed a tumor-mimicking vegetation visible as a mass lesion across the tricuspid valve, which is attached to the interventricular septum by a pedicle suggesting a RV myxoma. The vegetation was found to be attached with the tumor and it disappeared with antibiotics and aspirin therapy and the child was advised surgical removal of the tumor. Conclusion: A diagnosis of infective endocarditis can be made in tricuspid valve dysfunction with a floating mass and fever. The cardiac myxoma with an attached vegetation is masquerading as vegetation mass on transthoracic echocardiography in this child.

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Ventricular Septal Perforation Caused by Right-Sided Infective Endocarditis Associated With Giant Vegetation

Cited by 3 publications

References 5 publications

Allergy to transdermal fentanyl resulting in Staphylococcus aureus sepsis and fatal endocarditis with myocardial rupture

Allergy to transdermal fentanyl resulting in Staphylococcus aureus sepsis and fatal endocarditis with myocardial rupture

Delayed ventricular septal perforation caused by minimal branches occlusion during coronary artery stenting

Isolated Right-Sided Infective Endocarditis—An Infected Right Ventricular Myxoma Masquerading as “Tricuspid Vegetation”—A Case Report

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