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.
Division of Infectious Disease, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Tsong-Yih
TY
Ou
Robert Fu-Chean
RF
Chen
Chun-Sen
CS
Hsu
Pai-Feng
PF
Kao
Fan-Lang
FL
Yu
Sing-On
SO
Teng
Wen-Sen
WS
Lee
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