Endocarditis with multiple intracardiac shunts: identification and repair.
case_report · Level V
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Abstract
An 8-year-old boy who suffered from Hirschsprung's disease had development of tricuspid valve endocarditis that progressed to aortic root abscess formation, development of a fistulous communication between aorta and right atrium, atrial and ventricular septal defects, and a left ventricle to right atrium defect. Several surgical procedures were required. Operation consisted initially of closure of the septal defects and aortic valve repair. This was followed by homograft replacement of the aortic valve for persistent infection, and further closure of a left ventricle to right atrium fistula.
Medical subject headings
- Abscess
- Aortic Valve
- Endocarditis, Bacterial
- Fistula
- Heart Atria
- Heart Septal Defects, Atrial
- Heart Septal Defects, Ventricular
- Heart Ventricles
- Staphylococcal Infections
- Staphylococcus epidermidis
- Tricuspid Valve