Right-sided endocarditis involving both tricuspid and pulmonary valves in a patient with ventricular septal defect

A patient with alpha-haemolytic streptococcus endocarditis on a ventricular septal defect is described. The disease spread to involve both tricuspid and pulmonary valves which were largely destroyed. The patient developed severe right heart failure with pronounced rise in right atrial pressure. This...

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Bibliographic Details
Published in:British Heart Journal 1977-03, Vol.39 (3), p.323-325
Main Authors: Oakley, G D, Carson, P H, Sanderson, J M
Format: Article
Language:English
Subjects:
Adult
Endocarditis, Bacterial - complications
Female
Heart Septal Defects, Ventricular - complications
Heart Valve Diseases - complications
Humans
Pulmonary Valve
Streptococcal Infections - complications
Tricuspid Valve
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Summary:A patient with alpha-haemolytic streptococcus endocarditis on a ventricular septal defect is described. The disease spread to involve both tricuspid and pulmonary valves which were largely destroyed. The patient developed severe right heart failure with pronounced rise in right atrial pressure. This led to right-to-left shunting through the foramen ovale with systemic embolization. She was successfully treated by operative closure of the defects and double right-sided valve replacement.
ISSN:0007-0769
1355-6037
1468-201X
2053-5864
DOI:10.1136/hrt.39.3.323