Journal of the American Society of Echocardiography
Case ReportAre All Ventricular Septal Defects Created Equal?
Section snippets
Case Presentation
We report an occurrence of infective endocarditis in a patient with a ventricular septal defect (VSD) who adhered to the revised 2007 American Heart Association (AHA) and American College of Cardiology (ACC) guidelines for infective endocarditis.1
The patient was a 32-year-old male health care worker with a VSD who carefully complied with the AHA's endocarditis recommendations. He is followed by a primary care physician and received antibiotics prior to multiple previous dental procedures,
Discussion
VSD is a common congenital heart defect, accounting for approximately 10% of all congenital heart disease. The incidence of infective endocarditis in patients with VSDs is rare, with an average rate of 16 per 10,000 patient-years (range, 3-38 per 10,000 patient-years).2, 3 VSDs with LV-RA shunts are reported to be associated with a higher risk for endocarditis (58 per 10,000 patient-years) compared with typical VSDs4 or mitral regurgitation (5.2 per 10,000 patient-years).5
The necessary
Acknowledgment
This work was supported in part from the Allan C. Hudson and Helen Lovaas Endowed Chair of Cardiac Imaging (V.L.S.).
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Risk factors for infective endocarditis
Infect Dis Clin North Am
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Prevention of infective endocarditis. Guidelines from the American Heart Association
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2018, Indian Heart JournalCitation Excerpt :It is possible that the infection is community acquired. Persistent fever associated with pulmonary events, anemia, and microscopic hematuria the so-called “tricuspid syndrome”, should alert a clinician to search for TVE.4,15,23,24 Echocardiography, bacterial and fungal blood cultures, HRCT chest/CT pulmonary angiography should be promptly considered as the delay in diagnosis can compromise favorable outcome.23,25
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2014, International Journal of Clinical and Experimental MedicineLeft ventricular to right atrial shunt (Gerbode defect): Congenital versus acquired
2014, Postepy w Kardiologii Interwencyjnej
This work was supported in part from the Allan C. Hudson and Helen Lovaas Endowed Chair of Cardiac Imaging (V.L.S.).