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Case Reports
. 2024 Dec;136(23-24):700-702.
doi: 10.1007/s00508-024-02416-3. Epub 2024 Aug 23.

Isolated pulmonary valve endocarditis

Sonja Valsky  1 , David Mutschlechner  1   2   3 , Dominik Wiedemann  4 , Thomas Gremmel  5   6   7
Affiliations
Case Reports

Isolated pulmonary valve endocarditis

Sonja Valsky et al. Wien Klin Wochenschr. 2024 Dec.

Abstract

Isolated pulmonary valve endocarditis (IPE) is a rare form of infectious endocarditis. This article reports the case of a 49-year-old patient with IPE who was initially admitted with suspected cholecystitis. After vegetations were detected by transthoracic (TTE) and transesophageal echocardiography (TEE), antibiotic therapy in accordance with the antibiogram was primarily attempted; however, due to persistently elevated infection parameters and structural valve damage a pulmonary valve replacement was eventually performed.

Keywords: Echocardiography; Endocarditis; Isolated pulmonary valve endocarditis; Surgical valve replacement; Transesophageal echocardiography.

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Conflict of interest statement

Declarations. Conflict of interest: T. Gremmel received speaker fees from Amgen, Bayer, Boehringer-Ingelheim, Bristol Myers Squibb, Daiichi-Sankyo, Novartis, and Pfizer, and grant support from Boehringer-Ingelheim, Bristol Myers Squibb, Medtronic, and Abbott. S. Valsky, D. Mutschlechner and D. Wiedemann declare that they have no competing interests. Ethical standards: For this article no studies with human participants or animals were performed by any of the authors. All studies performed were in accordance with the ethical standards indicated. Written informed consent was obtained from the respective patient.

Figures

Fig. 1
Fig. 1
Vegetation at the pulmonary valve in transthoracic and transesophageal echocardiography. a Parasternal short axis view showing the vegetation on the pulmonary valve (red arrow). b Transesophageal echocardiography showing the vegetation at the pulmonary valve (red arrow) and the tricuspid valve (blue arrow) without any vegetation. c Transesophageal echocardiography showing the mitral valve (green arrow) and tricuspid valve (blue arrow) without any vegetation. d Transesophageal echocardiography showing the aortic valve without any vegetation (purple arrow)
See this image and copyright information in PMC

References

    1. Murdoch DR, Corey GR, Hoen B, Miro JM, Fowler VG Jr., Bayer AS, et al. Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the international collaboration on endocarditis-prospective cohort study. Arch Intern Med. 2009;169(5):463–73. - PMC - PubMed
    1. Habib G, Erba PA, Iung B, Donal E, Cosyns B, Laroche C, et al. Clinical presentation, aetiology and outcome of infective endocarditis. Results of the ESC-EORP EURO-ENDO (European infective endocarditis) registry: a prospective cohort study. Eur Heart J. 2019;40(39):3222–32. - PubMed
    1. Sharma S, Malavia GA. Pulmonary valve infective endocarditis: a case series. Ann Pediatr Cardiol. 2021;14(4):496–500. - PMC - PubMed
    1. Zhang MX, Zhang WM, Yu C, Zhao BW, Chen R, Pan M, et al. Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review. J Cardiothorac Surg. 2021;16(1):16. - PMC - PubMed
    1. Siquier-Padilla J, Cuervo G, Urra X, Quintana E, Hernandez-Meneses M, Sandoval E, et al. Optimal timing for cardiac surgery in infective endocarditis with neurological complications: a narrative review. J Clin Med. 2022;11(18). - PMC - PubMed

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