Pulmonary valve endocarditis in a pregnant woman with a ventricular septal defect.
Bacterial endocarditis in pregnancy causes maternal and fetal mortality rates of 22.1% and 14.7%, respectively. The mortality rates differ according to the involved valves, and the size of vegetation has a prognostic correlation. This report is of a pregnant woman with an unrepaired ventricular septal defect and pulmonary valve endocarditis with a vegetation size of 3.29 cm. She and her baby were treated successfully. An emergency surgical plan would be appropriate for pregnant women in the third trimester with a large vegetation in the right side of the heart, and dental disease should be treated aggressively with appropriate prophylactic antibiotics.
Ou
Tsong-Yih
TY
Division of Infectious Disease, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Chen
Robert Fu-Chean
RF
Hsu
Chun-Sen
CS
Kao
Pai-Feng
PF
Yu
Fan-Lang
FL
Teng
Sing-On
SO
Lee
Wen-Sen
WS
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004562:Electrocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000473:pathology; D006801:Humans; D009206:Myocardium / Q000473:pathology; D019647:Oral Surgical Procedures; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D011664:Pulmonary Valve / Q000382:microbiology* / Q000473:pathology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D016986:Streptococcus sobrinus / Q000302:isolation & purification
D000900:Anti-Bacterial Agents