Tetralogy of Fallot with infective endocarditis: an echocardiographic explanation of misleading clinical signs.
Echocardiography has a known key role in the diagnosis of infective endocarditis, the diagnosis of complications, follow-up evaluation after therapy, and prognostic assessment Habib (Eur J Echocardiogr 11:202-219, 3). This report describes a boy with tetralogy of Fallot who presented with infective endocarditis and large vegetation occluding the ventricular septal defect, thus resulting in a hemodynamically restrictive ventriculoseptal defect with misleading clinical signs. This case illustrates the role of echocardiography in both explaining clinical signs and providing hemodynamic data.
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareily Road, Lucknow, India.
Pravin K
PK
Goel
Nagaraja
N
Moorthy
Tanuj
T
Bhatia
D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000150:complications / Q000000981:diagnostic imaging*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013771:Tetralogy of Fallot / Q000150:complications / Q000000981:diagnostic imaging*