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Case Reports
. 2022 Apr 9;22(1):159.
doi: 10.1186/s12872-022-02595-9.

Pulmonary valve perforation with multiple cardiac anomalies: a case report

Yan Chen  1 , Huanhuan Gao  1 , Yun Mou  2 , Zhelan Zheng  1
Affiliations
Case Reports

Pulmonary valve perforation with multiple cardiac anomalies: a case report

Yan Chen et al. BMC Cardiovasc Disord. .

Abstract

Background: Large pulmonary valve perforation, which is rarely seen with infective endocarditis, general atrophy, or congenital fenestration, often leads to potentially fatal outcomes, including heart failure.

Case presentation: Transthoracic and transesophageal echocardiographic evaluation of a 69-year-old woman revealed a severely eccentric pulmonary regurgitation with concomitant pulmonary valve stenosis, patent ductus arteriosus, patent foramen ovale, and pulmonary artery aneurysm. In the operation, a large perforation was found in the pulmonary valve leaflet. She underwent complicated surgery that involved closure of the congenital heart defects and replacement of a pulmonary valve with successful results. But the cause of her pulmonary valve perforation remained undetermined.

Conclusion: This case highlights two important points: the need for timely management of congenital heart disease and being aware of the possibility of pulmonary valve perforation, which in this case was indicated by an eccentric pulmonary regurgitant jet seen on echocardiography.

Keywords: Case report; Echocardiography; Infective endocarditis; Pulmonary valve.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Transesophageal echocardiography. a Color Doppler imaging shows severe pulmonic valve regurgitation with an eccentric jet. The jet’s path is marked with seven arrows. b Color Doppler biplane imaging shows patent ductus arteriosus (arrow). LA left atrium, AV aortic valve, RV right ventricle, PA pulmonary artery
Fig. 2
Fig. 2
Intraoperative photographs of the pulmonary valve. a Pulmonary valve stenosis with restrictive orifice (arrow). b Large perforation (arrow) of the pulmonary valve
See this image and copyright information in PMC

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