[Tricuspid endocarditis with right-left auricular shunt through a patent foramen ovale].
The authors report the case of a tricuspid endocarditis secondary to Streptococcus bovis with important regurgitation and severe hypoxemia secondary to a right-left atrial shunt through a patent foramen ovale, requiring a surgical treatment which included the replacement of the tricuspid valve and closure of the dehiscence in the inter-atrial septum. The presence of a patent foramen ovale in the course of a tricuspid endocarditis has been exceptionally reported. This diagnosis deserves to be evoked in case of an unexplained hypoxic condition or a systemic embolism complicating a tricuspid endocarditis. The report emphasizes the advantage of ultrasonic examinations (contrast sonocardiography, pulsated Doppler) in order to demonstrate this right-left atrial shunt in addition to the data collected about the tricuspid valve.
D000328:Adult; D004697:Endocarditis, Bacterial / Q000150:complications*; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D014262:Tricuspid Valve Insufficiency / Q000209:etiology*; D014463:Ultrasonography
Endocardite tricuspidienne avec shunt auriculaire droite-gauche à travers un foramen ovale perméable.