title: Eustachian valve endocarditis: a rare complication of automatic implantable cardioverter defibrillator placement.
abstract: Eustachian valve (EV) endocarditis is extremely rare and often difficult to diagnose. An extensive review of the English literature has shown no report of EV endocarditis as a complication of the automatic implantable cardioverter defibrillator (AICD). A rare case is reported following AICD placement that was diagnosed by clinical findings of sepsis and positive blood cultures, and supported (using transesophageal echocardiography) by the presence of vegetations attached to the EV. Previously reported cases of EV endocarditis are reviewed, and its significance discussed in the setting of an increased use of AICD.
authors.affiliation: Department of Internal Medicine, Sinai-Grace Hospital/Detroit Medical Center, 6071 W Outer Dr., Detroit, MI 48235, USA. mchvenk@gmail.com
authors.forename: Malini
authors.initials: M
authors.lastname: Venkatram
authors.forename: Naga V A
authors.initials: NV
authors.lastname: Kommuri
authors.forename: Sri Lakshmi S
authors.initials: SL
authors.lastname: Kollepara
authors.forename: Venkataramu N
authors.initials: VN
authors.lastname: Krishnamurthy
authors.forename: Ramegowda
authors.initials: R
authors.lastname: Rajagopal
authors.forename: Rajika
authors.initials: R
authors.lastname: Munasinghe
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000209:etiology*; D006349:Heart Valve Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000209:etiology*