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August 4, 2026Journal of Pediatric Intensive CareOpen Access

Percutaneous RV vegetation removal yields rapid clinical improvement in a pediatric infective endocarditis case.

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Why the study?

Infective endocarditis in the pediatric population is uncommon and presents with nonspecific signs, but prompt diagnosis and management are critical given its high mortality rate.

Does percutaneous removal of a cardiac mass improve outcomes in a pediatric patient with infective endocarditis?

Population

A 15-year-old boy with infective endocarditis and a right ventricular vegetation

Design

Case report

Key result

Percutaneous removal of a right ventricular vegetation in a 15-year-old boy with infective endocarditis was well tolerated and resulted in rapid clinical improvement.

Authors

NKNii KoneyCBChelsea BenmessaoudKCKalonji Cole

Discussion

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Member takes

Overview

May support percutaneous approach in select pediatric IE cases; hypothesis-generating and leaves open need for prospective validation.

Key Points

  • To illustrate the successful percutaneous removal of a cardiac mass in a pediatric case of infective endocarditis.
  • Case report of a 15-year-old boy
  • Presentation included bilateral multifocal pneumonia and diagnosed infective endocarditis
  • Percutaneous removal of the right ventricular vegetation
  • The patient tolerated the percutaneous removal procedure well
  • Rapid improvement was observed following the removal of the vegetation
  • Highlights the potential of a minimally invasive approach for cardiac mass management

Study Design

Type

Case Report (n=1)

Structured PICO

Does percutaneous removal of a cardiac mass improve outcomes in a pediatric patient with infective endocarditis?

P
Population
A 15-year-old boy with infective endocarditis and a right ventricular vegetation.
I
Intervention
Percutaneous removal of cardiac mass/vegetation
O
Outcome
Procedural success and clinical improvement

Percutaneous removal of a right ventricular vegetation is a feasible, minimally invasive alternative to surgery in pediatric infective endocarditis.

Cite This Study

Koney et al. (2018) conducted a case report in Infective endocarditis with a right ventricular vegetation (n=1). Percutaneous removal of vegetation was evaluated on Clinical improvement and procedure tolerance. Percutaneous removal of a right ventricular vegetation in a 15-year-old boy with infective endocarditis was well tolerated and resulted in rapid clinical improvement.

synapsesocial.com/papers/6a7164fdfe4101aa97e08ea4https://doi.org/10.1055/s-0038-1675194
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