Two cases of isolated pulmonary valve infective endocarditis complicating ventricular septal defect / 대한내과학회지
Korean Journal of Medicine
; : S740-S745, 2004.
Article
en Ko
| WPRIM
| ID: wpr-74648
Biblioteca responsable:
WPRO
ABSTRACT
Isolated infective endocarditis in the native pulmonary valve is an unusual clinical entity in non-intravenous drug users. Intravenous drug abuse, alcoholism, sepsis, catheter related infections and congenital heart diseases account for the majority of predisposing factors. We report two cases of isolated pulmonary valve infective endocarditis complicating ventricular septal defect (VSD). A 43 year-old male was admitted because of mild fever, pansystolic murmur on the left lower sternal border. Transthoracic and transesophageal echocardiography revealed a large perimembranous ventricular septal defect and vegetations at the pulmonary valve. After the intravenous use of penicillin and gentamicin, patch closure of VSD with resection of vegetations, resection of anomalous muscle bundles on the right ventricle outlet tract and pulmonary valvuloplasty was performed. A 43 year-old female was admitted with spiking fever, dyspnea. Transthoracic and transesophageal echocardiography showed a small perimenbranous ventricular septal defect with pulmonary valve vegetations. Intravenous penicillin and gentamicin were continued for 4 weeks and she is doing well.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Penicilinas
/
Válvula Pulmonar
/
Gentamicinas
/
Abuso de Sustancias por Vía Intravenosa
/
Causalidad
/
Ecocardiografía Transesofágica
/
Sepsis
/
Alcoholismo
/
Disnea
/
Endocarditis
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Medicine
Año:
2004
Tipo del documento:
Article