Swan-Ganz catheter-related pulmonary valve infective endocarditis : a case report

We report the case of a 29-year-old man with decompensated alcoholic cardiomyopathy who developed a Staphylococcal pulmonic valve infective endocarditis during hemodynamic monitoring, as a consequence of catheter-related bacteremia. As experimentally demonstrated, the damaging role of the pulmonary...

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Bibliographic Details
Published in:Intensive care medicine 1994-02, Vol.20 (2), p.142-144
Main Authors: BERNARDIN, G, MILHAUD, D, ROGER, P. M, POULIQUEN, G, CORCELLE, P, MATTEI, M
Format: Article
Language:English
Subjects:
Adult
Alcoholism - complications
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Bacteremia - etiology
Biological and medical sciences
Cardiac Catheterization
Cardiomyopathy, Dilated - diagnosis
Cardiomyopathy, Dilated - etiology
Catheterization, Swan-Ganz - adverse effects
Echocardiography
Emergency and intensive care: techniques, logistics
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - etiology
Endocarditis, Bacterial - physiopathology
Heart Failure - diagnosis
Heart Failure - etiology
Hemodynamics
Humans
Intensive care medicine
Male
Medical sciences
Perfusions. Catheterizations. Hyperbaric oxygenotherapy
Pulmonary Valve
Staphylococcal Infections - diagnostic imaging
Staphylococcal Infections - etiology
Staphylococcal Infections - physiopathology
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Summary:We report the case of a 29-year-old man with decompensated alcoholic cardiomyopathy who developed a Staphylococcal pulmonic valve infective endocarditis during hemodynamic monitoring, as a consequence of catheter-related bacteremia. As experimentally demonstrated, the damaging role of the pulmonary artery catheter on the endocardial surface plays a major role in the pathogenesis of related right-sided infective endocarditis. Occurrence of bacteremia in a catheterized patient should be considered as a high risk situation, and righ-heart infective endocarditis must be suspected whenever patient presents fever or bacteremia without obvious site of infection. Doppler echocardiography is the reference diagnosis procedure.
ISSN:0342-4642
1432-1238
DOI:10.1007/BF01707670