Endocarditis of a tricuspid prosthesis causing valvular stenosis and shunting through a patent foramen ovale.
A young intravenous drug user presented with Staphylococcus aureus endocarditis involving the tricuspid valve, which was replaced with a Hancock bioprosthesis. She presented again with fever and dyspnea five months later and was found to be cyanotic. Recurrent endocarditis involving the prosthesis with right-to-left shunting through a patent foramen ovale was documented by echo and confirmed at autopsy.
D000328:Adult; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006350:Heart Valve Prosthesis; D006801:Humans; D012008:Recurrence; D013203:Staphylococcal Infections / Q000150:complications / Q000601:surgery; D019966:Substance-Related Disorders / Q000150:complications; D013997:Time Factors; D014261:Tricuspid Valve; D014264:Tricuspid Valve Stenosis / Q000209:etiology*