Are All Ventricular Septal Defects Created Equal?
| Autor: | Vincent L. Sorrell, Daniela Lax, Rajan D. Bhatt, Scott E. Klewer |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Heart Septal Defects Ventricular Male medicine.medical_specialty Diagnosis Differential Internal medicine medicine Humans Endocarditis Radiology Nuclear Medicine and imaging cardiovascular diseases Antibiotic prophylaxis Tricuspid valve business.industry Dental procedures Streptococcus viridans Endocarditis Bacterial medicine.disease Echocardiography Doppler Gerbode defect Surgery medicine.anatomical_structure DENTAL EVALUATION Infective endocarditis cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of the American Society of Echocardiography. 23:791.e5-791.e7 |
| ISSN: | 0894-7317 |
| DOI: | 10.1016/j.echo.2009.12.004 |
| Popis: | The authors report the occurrence of infective endocarditis in a 32-year-old man with a ventricular septal defect and a left ventricular–to–right-atrial shunt who adhered to the revised 2007 American Heart Association guidelines for infective endocarditis. The patient had received antibiotic prophylaxis prior to multiple previous dental procedures. At a recent dental evaluation for fillings, he was informed that he no longer needed prophylaxis. Fatigue and fevers developed 1 week later, and he was treated with an oral course of ciprofloxacin. The symptoms recurred, and blood cultures grew Streptococcus viridans . A 7-mm vegetative mass was seen on the septal leaflet of the tricuspid valve during transesophageal echocardiography. This report raises the concern that patients with ventricular septal defects and left ventricular–to–right-atrial shunts are at higher risk for endocarditis and may require antibiotic prophylaxis. |
| Databáze: | OpenAIRE |
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