[Acquired ventricular septal defect during infective endocarditis].
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.
Tarasoutchi
F
F
Instituto do Coração do Hospital das Clínicas-FMUSP, São Paulo.
Grinberg
M
M
Barreto Filho
J A
JA
Vasconcelos
J T
JT
Cardoso
L F
LF
Lunardi
W
W
Mansur
A
A
Pomerantzeff
P
P
da Luz
P L
PL
Bellotti
G
G
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
Defeito do septo interventricular adquirido no curso de endocardite infecciosa.