An unusual case of infective endocarditis: Extension of a tricuspid valve vegetation into the left atrium through a patent foramen ovale
| Autor: | Amer M. Johri, Henryk Kafka, Katherine A. Kovacs |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities Left atrium Foramen Ovale Patent Case Report Cocaine-Related Disorders Internal medicine medicine Endocarditis Humans Heart Atria Foramen ovale (heart) Tricuspid valve Unusual case business.industry medicine.disease Surgery Anti-Bacterial Agents medicine.anatomical_structure Echocardiography Infective endocarditis Patent foramen ovale Cardiology cardiovascular system Female Tricuspid Valve medicine.symptom Cardiology and Cardiovascular Medicine Vegetation (pathology) business |
| Popis: | Tricuspid valve endocarditis frequently occurs in the setting of intravenous drug use. A case of tricuspid valve endocarditis in a 37-year-old woman with a history of intravenous cocaine use is described. Transthoracic echocardiography showed extension of the tricuspid valve mass through a patent foramen ovale and into the left atrium. One week after intravenous antibiotic treatment, the mass no longer traversed the patent foramen ovale, and only two smaller tricuspid valve vegetations remained. The present case demonstrates the value of performing a complete and thorough transthoracic echocardiography to visualize and evaluate both the right- and left-sided consequences of infective endocarditis in intravenous drug users. It also serves as a useful reminder to physicians caring for such patients that right sided endocarditis can have important left-sided complications. |
| Databáze: | OpenAIRE |
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