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Case Reports
. 2018 Jan-Apr;11(1):100-102.
doi: 10.4103/apc.APC_130_17.

Acquired ventricular septal defect due to infective endocarditis

Randi E Durden  1 , Joseph W Turek  1 , Benjamin E Reinking  1 , Manish Bansal  1
Affiliations
Case Reports

Acquired ventricular septal defect due to infective endocarditis

Randi E Durden et al. Ann Pediatr Cardiol. 2018 Jan-Apr.

Abstract

Acquired intracardiac left-to-right shunts are rare occurrences. Chest trauma and myocardial infection are well-known causes of acquired ventricular septal defect (VSD). There have been several case reports describing left ventricle to right atrium shunt after infective endocarditis (IE). We present here a patient found to have an acquired VSD secondary to IE of the aortic and tricuspid valves in the setting of a known bicuspid aortic valve. This is the first case reported of acquired VSD in a pediatric patient in the setting of IE along with literature review of acquired left-to-right shunts.

Keywords: Endocarditis; infective endocarditis; ventricular septal defect.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Transesophageal echocardiogram showing vegetation/mass noted on septal leaflet of the Tricuspid Valve. RA: Right atrium, LA: Left atrium, RV: Right ventricle
Figure 2
Figure 2
Transthoracic echocardiogram image showing side by side 2-dimensional and color doppler imaging of membranous septum without VSD. RA: Right atrium, LA: Left atrium RV: Right ventricle, AoV: Aortic Valve
Figure 3
Figure 3
Transesophageal echocardiogram image showing side by side 2-dimensional and color doppler imaging of IE created defect. LV to RV to Anterior septal commissure of tricuspid valve to RA. RA: Right atrium, LA: Left atrium, RV: Right ventricle, LV: Left ventricle, VSD: Ventricular septal defect
Figure 4
Figure 4
Intraoperative image from the surgeon's viewpoint looking at the tricuspid valve from the right atrial position. The septal leaflet is being held by forceps, and a vegetation is notable in the abscess cavity where the ventricular septal defect begins
Figure 5
Figure 5
Intraoperative image from the surgeon's viewpoint. Splayed ascending aorta looking at the aortic valve showing erosion of the noncoronary cusp of the aortic valve
See this image and copyright information in PMC

References

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