[Right-sided infective endocarditis with ventricular septal defect].
Two patients underwent surgical treatment for right-sided infective endocarditis with ventricular septal defect. In both cases, blood cultures showed Peptostreptococcus, and the operation was performed at non-active phase after antibiotics therapy. The case 1 was a 7-year-old girl who was observed a vegetation on the chorda of the anterior paillary muscle by echocardiography. The defect was directly closed and the vegetation was excised. The case 2 was 22-year-old female who had been diagnosed of VSD in her infancy. A high fever continued and echocardiography revealed a vegetation attached to the septal tricuspid leaflet. Partial excision of the leaflet and autopericard patch plasty was performed, and the VSD was directly closed. Postoperatively intravenous antibiotic therapy was given for periods of 6 weeks, and clinical course were uneventful in both cases. Local excision of vegetation and leaflet repair by autopericard patch plasty should be performed in cases with localized vegetation and minor valvular regurgitation.
Sasahashi
N
N
Department of Cardiovascular Surgery, Hyogo Kenritsu Amagasaki Hospital.
Ando
F
F
Okamoto
F
F
Yamanaka
K
K
Otani
S
S
Oda
K
K
Sogabe
K
K
Hanada
T
T
Murakami
Y
Y
Takechi
T
T
D000328:Adult; D002648:Child; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery; D006801:Humans; D010462:Peptostreptococcus