Key result
Antibiotics and surgery successfully treat right-sided IE and pulmonary infarction in uncorrected VSD.
Why the study?
Right-sided infective endocarditis with pulmonary valve involvement is very rare and mostly occurs in patients with congenital heart defects.
Case Report (n=1)
No
This case demonstrates the successful combined medical and surgical management of a rare pulmonary valve infective endocarditis complicated by pulmonary embolism and infarction in an adult with an uncorrected ventricular septal defect.
Supports combined medical-surgical management of rare right-sided IE with pulmonary infarction in uncorrected VSD; leaves open need for prospective data.
Right-sided infective endocarditis (IE) is very rare and mostly occurs in the tricuspid valve, which pulmonary valve involvement in very rare. Most IE of the pulmonary valve occurs in patients with congenital heart defects. we report a case of the complications of pulmonary valve IE and pulmonary embolism which then causes pulmonary infarction in patients with VSD who have not been corrected. This case successfully underwent surgery for endocarditis/vegetation removal and septal defect closure.
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Riyanto et al. (2020) conducted a case report in Right-sided infective endocarditis, pulmonary embolism, and infarction with uncorrected ventricular septal defect (n=1). Antibiotics, anticoagulants, and surgical intervention (VSD closure, infundibular resection, vegetation evacuation) was evaluated. A 19-year-old male with uncorrected ventricular septal defect complicated by right-sided infective endocarditis and pulmonary infarction was successfully treated with antibiotics and surgery.
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