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Case Reports
. 2021 Oct-Dec;14(4):527-529.
doi: 10.4103/apc.apc_17_21. Epub 2022 Mar 25.

Infective endocarditis-induced complete closure of a ventricular septal defect and complete heart block in a child

Umadevi Karuru  1 , Jay Relan  1 , Shyam S Kothari  1 , Saurabh Kumar Gupta  1 , Sachin Talwar  2
Affiliations
Case Reports

Infective endocarditis-induced complete closure of a ventricular septal defect and complete heart block in a child

Umadevi Karuru et al. Ann Pediatr Cardiol. 2021 Oct-Dec.

Abstract

We hereby report rare occurrence of irreversible complete heart block in a child with tricuspid valve infective endocarditis. The tricuspid valve vegetation also caused complete closure of perimembranous ventricular septal defect, which was later discovered during surgery.

Keywords: Complete heart block; tricuspid valve endocarditis; ventricular septal defect.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Twelve lead electrocardiography shows complete heart block with atrial rate of 148/min and ventricular rate of 42/min with right bundle branch block
Figure 2
Figure 2
Transthoracic echocardiogram in apical four-chamber (panel A) and parasternal long axis (panel B) view shows large vegetation on septal and anterior leaflet of the tricuspid valve, respectively. RA: Right atrium, RV: Right ventricle, LA: Left atrium, LV: Left ventricle
Figure 3
Figure 3
Intraoperative photograph, as seen from the right atrial aspect, shows a perimembranous ventricular septal defect (arrow) unmasked after removal of the vegetation on the septal leaflet of the tricuspid valve
See this image and copyright information in PMC

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