title: Endocarditis with multiple intracardiac shunts: identification and repair.
abstract: An 8-year-old boy who suffered from Hirschsprung's disease had development of tricuspid valve endocarditis that progressed to aortic root abscess formation, development of a fistulous communication between aorta and right atrium, atrial and ventricular septal defects, and a left ventricle to right atrium defect. Several surgical procedures were required. Operation consisted initially of closure of the septal defects and aortic valve repair. This was followed by homograft replacement of the aortic valve for persistent infection, and further closure of a left ventricle to right atrium fistula.
authors.affiliation: Heart Unit, Birmingham Children's Hospital, United Kingdom.
authors.forename: M
authors.initials: M
authors.lastname: Sadiq
authors.forename: N
authors.initials: N
authors.lastname: Sreeram
authors.forename: J V
authors.initials: JV
authors.lastname: de Giovanni
authors.forename: J G
authors.initials: JG
authors.lastname: Wright
authors.forename: W J
authors.initials: WJ
authors.lastname: Brawn
authors.forename: E J
authors.initials: EJ
authors.lastname: Ladusans
authors.forename: B
authors.initials: B
authors.lastname: Sethia
mesh_terms: D000038:Abscess / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D004697:Endocarditis, Bacterial / Q000382:microbiology / Q000601:surgery*; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000209:etiology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery*; D006349:Heart Valve Diseases / Q000209:etiology / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery*; D006627:Hirschsprung Disease / Q000150:complications; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications / Q000601:surgery*; D013212:Staphylococcus epidermidis; D014261:Tricuspid Valve / Q000601:surgery*