title: [Acquired ventricular septal defect during infective endocarditis].
abstract: We studied five patients with acquired ventricular septal defect during the course of an infective endocarditis. All patients were male and had a previous aortic valve disease associated with an aortic ring abscess. Clinical examination was useful for the diagnosis of 4 cases, emphasizing the following findings: systolic murmur and/or left paraesternal thrill and right-heart failure. Incidence of congestive heart failure was 60%, while 40% of all patients died during the in-hospital course. No specific etiologic agent was detected. Therefore, acquired ventricular septal defect should be suspected in patients with infective endocarditis of the aortic valve that evolve with a systolic murmur and/or paraesternal thrill and right-heart failure. Immediate surgical treatment is mandatory in these cases.
authors.affiliation: Instituto do Coração do Hospital das Clínicas-FMUSP, São Paulo.
authors.forename: F
authors.initials: F
authors.lastname: Tarasoutchi
authors.forename: M
authors.initials: M
authors.lastname: Grinberg
authors.forename: J A
authors.initials: JA
authors.lastname: Barreto Filho
authors.forename: J T
authors.initials: JT
authors.lastname: Vasconcelos
authors.forename: L F
authors.initials: LF
authors.lastname: Cardoso
authors.forename: W
authors.initials: W
authors.lastname: Lunardi
authors.forename: A
authors.initials: A
authors.lastname: Mansur
authors.forename: P
authors.initials: P
authors.lastname: Pomerantzeff
authors.forename: P L
authors.initials: PL
authors.lastname: da Luz
authors.forename: G
authors.initials: G
authors.lastname: Bellotti
mesh_terms: D000293:Adolescent; D000328:Adult; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology; D009202:Cardiomyopathies / Q000175:diagnosis / Q000382:microbiology; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis; D006337:Heart Murmurs / Q000175:diagnosis / Q000209:etiology; D006346:Heart Septum; D006801:Humans; D008297:Male; D008875:Middle Aged; D013902:Radiography, Thoracic; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology
vernacular_title: Defeito do septo interventricular adquirido no curso de endocardite infecciosa.