title: [Acute pulmonic valve endocarditis].
abstract: Right heart endocarditis mainly affects tricuspid valve, especially in drug users. Isolated pulmonary valve infection is rare. We here report the case of a 32-year old young woman whose diagnosis of community-acquired pulmonary valve endocarditis was confirmed. This study is even more interesting because pulmonary valve endocarditis has occurred in a patient without a history of drug addiction; nevertheless, it wasn't associated with restrictive interventricular communication. The patient underwent emergency surgery due to the visualization of large and mobile vegetation on transthoracic heart ultrasound. Surgery was carried out under extracorporeal circulation and pulmonary valve has been replaced with a bioprosthesis. Bloodcultures and valve culture showed methicillin-sensitive staphylococcus aureus. Postoperative evolution was favorable, with a follow-up of 06 months without recurring infections.
authors.affiliation: Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sahloul, Sousse, Tunisie.
authors.forename: Amine
authors.initials: A
authors.lastname: Tarmiz
authors.affiliation: Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sahloul, Sousse, Tunisie.
authors.forename: Imene
authors.initials: I
authors.lastname: Mgarrech
authors.affiliation: Service de Cardiologie, CHU Sahloul, Sousse, Tunisie.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Slim
authors.affiliation: Service de Cardiologie, CHU Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: Najeh Ben
authors.initials: NB
authors.lastname: Hlima
authors.affiliation: Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sahloul, Sousse, Tunisie.
authors.forename: Chokri
authors.initials: C
authors.lastname: Kortas
authors.affiliation: Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sahloul, Sousse, Tunisie.
authors.forename: Sofiane
authors.initials: S
authors.lastname: Jerbi
mesh_terms: D000208:Acute Disease; D000328:Adult; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D011664:Pulmonary Valve / Q000382:microbiology / Q000473:pathology*; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D013211:Staphylococcus aureus / Q000302:isolation & purification
keywords: Endocarditis; cardiac surgery; pulmonary embolism; pulmonary valve