title: Ventricular septal perforation caused by right-sided infective endocarditis associated with giant vegetation.
abstract: A 71-year-old man presented with general fatigue associated with syncope and fever, and was admitted to our hospital and treated with antibiotics for pneumonia. On day 10 after admission, cardiac echocardiography showed a ventricular septal perforation and giant vegetation floating in the right ventricle near the tricuspid valve, which had not been detected at the time of admission. An emergency operation (including vegetation excision, debridement, ventricular septal perforation patch closure, and tricuspid valve replacement) was performed. A permanent pacemaker was implanted on postoperative day 34, and the patient was discharged without any complications. A culture of the excised vegetation and blood culture revealed methicillin-susceptible Staphylococcus aureus. There has been no previous report of a presenting ventricular septal perforation caused by right-sided infective endocarditis.
authors.affiliation: Cardiovascular Surgery Department, Ogaki Tokushukai Hospital, Ogaki-city, Gifu, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Furui
authors.forename: Takeki
authors.initials: T
authors.lastname: Ohashi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yoshida
authors.forename: Fujihiro
authors.initials: F
authors.lastname: Oka
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Hirai
authors.forename: Nozomu
authors.initials: N
authors.lastname: Ohyoshi
authors.forename: Akinori
authors.initials: A
authors.lastname: Kojima
mesh_terms: D000368:Aged; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000175:diagnosis; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery