title: Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease.
abstract: A 49-year-old woman with sickle cell disease presented with one month of exertional dyspnea, weakness, and fever and was diagnosed with isolated pulmonic valve endocarditis secondary to methicillin-resistant Staphylococcus bacteremia in the setting of a peripherally inserted central venous catheter. Chest computerized tomography showed multiple bilateral pulmonary nodular opacities consistent with septic emboli. Transthoracic and transesophageal echocardiograms revealed a large echodensity on the pulmonic valve requiring vegetation excision and pulmonic valve repair. In conclusion, isolated pulmonic valve endocarditis is a rare cause of infective endocarditis that warrants a high index of clinical suspicion. Furthermore the management of patients with sickle cell disease and endocarditis requires special consideration.
authors.affiliation: Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Timothy
authors.initials: T
authors.lastname: Glew
authors.affiliation: Department of Medicine, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Migdalia
authors.initials: M
authors.lastname: Feliciano
authors.affiliation: Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Dennis
authors.initials: D
authors.lastname: Finkielstein
authors.affiliation: Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Hecht
authors.affiliation: Department of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY 10003, USA.
authors.forename: Daryl
authors.initials: D
authors.lastname: Hoffman