Tricuspid endocarditis in an adult patient with Ebstein's anomaly who has a residual pacemaker lead.
Ebstein's anomaly is defined as an apical displacement of the attachment of the septal tricuspid valve leaflet from the right atrioventricular annulus that exceeded 1.2 cm in length. Patients with Ebstein's anomaly are known to have a high potential for developing arrhythmia, in the vast majority, of the tachycardia type. Infective endocarditis is characterized by ulcerovegetational lesions that result from the graft of a microorganism, usually bacterial, on the valvuler endocardium (native valve endocarditis) or on a prosthesis (prosthetic valve endocarditis). Ebstein's anomaly with tricuspid regurgitation is also thought to be a predisposing condition for infective endocarditis. In this case, we report a patient who presented with atrial flutter and infective endocarditis due to residual pacemaker lead and Ebstein's anomaly.
Bilge
Ahmet Kaya
AK
Department of Cardiology, University of Istanbul, Istanbul Faculty of Medicine, Istanbul, Turkey. ahmetkayabilge@hotmail.com
Adalet
Kamil
K
Ozyiğit
Tolga
T
Ozben
Beste
B
Yilmaz
Ercüment
E
D020878:Device Removal; D004437:Ebstein Anomaly / Q000150:complications* / Q000000981:diagnostic imaging; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology*; D005547:Foreign Bodies / Q000150:complications*; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology*; D014261:Tricuspid Valve / Q000601:surgery*; D014463:Ultrasonography