Contemporary Outcomes of Pulmonary Valve Endocarditis: A 16-Year Single Centre Experience

Isaza, Nicolás; Shrestha, Nabin K.; Gordon, Steven M.; Pettersson, Gösta; Unai, Shinya; Brizneda, Maria Vega; Witten, James C.; Griffin, Brian P.; Xu, Bo

doi:10.1016/j.hlc.2020.04.015

Cited by 12 publications

(24 citation statements)

References 13 publications

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“…Its diagnosis can be challenging and delayed due to presentation with nonspecific symptoms. [5][6][7][8][9] Major predisposing risk factors for PVE are IV drug use, implanted cardiac devices, congenital heart diseases, central venous catheters, hemodialysis, and immunosuppression. [3][4][5][6][7] In 28% of patients with PVE, no predisposing factor was identified.…”

Section: Case Presentationmentioning

confidence: 99%

“…[5][6][7][8][9] Major predisposing risk factors for PVE are IV drug use, implanted cardiac devices, congenital heart diseases, central venous catheters, hemodialysis, and immunosuppression. [3][4][5][6][7] In 28% of patients with PVE, no predisposing factor was identified. 8 In non-device-related right-sided IE in non-IV drug users, 43% of patients have no underlying heart disease, also 9% of patients had no risk factors or portal of entry.…”

Section: Case Presentationmentioning

confidence: 99%

“…Moreover, the most common pathogens responsible for PVE are Staphylococcus aureus followed by Streptococcus species and enterococci. [3][4][5] MRSA has been found in one-third of the cases, especially in IV drug users. 5 The diagnosis was made by modified Duke criteria.…”

Section: Although It Is Unknown What Causes Completely Normal Valves Tomentioning

confidence: 99%

“…Isolated pulmonary valve endocarditis (PVE) is an extremely uncommon clinical entity comprising less than 1.5%-2% of IE cases. [3][4][5] We aimed to present an isolated native PVE in a previously healthy young male, which developed after a tooth abscess.…”

Section: Introductionmentioning

confidence: 99%

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Unexpected isolated native pulmonary valve endocarditis; really benign as thought?

Külahçıoğlu

Sari

Yılmaz

et al. 2022

Journal of Cardiac Surgery

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Background: Isolated pulmonary valve endocarditis is extremely rare, accounting for <2% of cases. Major predisposing factors are intravenous drug use, implanted cardiac devices, congenital heart diseases, and central venous catheters. Most patients respond well to appropriate antibiotherapy.Aim: We report a case with an isolated native pulmonary valve endocarditis due to methicillin-resistant staphylococcus-aureus infection which developed after a tooth abscess in a previously healthy non-drug user young male. After one week antibiotherapy, surgery was required due to acute severe pulmonary insufficiency and right heart-failure. After the operation, he had a multi-organ failure despite veno-arterial extracorporeal membrane oxygenation, antibiotherapy, and other supportive treatments, therefore the case concluded with mortality. Discusion and Conclusion:Our case showed that pulmonary valve endocarditis may occur in patients without risk factors in case of portal of entry for bacteremia and it may carry worse prognosis than previously known. Virulence of the microorganism and vegetation size are the major predictors of prognosis. Pulmonary valve endocarditis should be kept in mind even in patients without any known risk factors.

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Section: Case Presentationmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Section: Although It Is Unknown What Causes Completely Normal Valves Tomentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Unexpected isolated native pulmonary valve endocarditis; really benign as thought?

Külahçıoğlu

Sari

Yılmaz

et al. 2022

Journal of Cardiac Surgery

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“…In a cohort of congenital heart disease patients, 924 surgical pulmonic valve replacement were performed with 19 (2%) cases attributed to PVE, corresponding to an incidence of 333/100000 person years[ 16 ]. A large single-center cohort of 2124 adult patients (median age 41.5 years) with IE reported 24 cases of pulmonary valve endocarditis, of which 54.2% of cases occurred in the context of prosthetic valves[ 17 ].…”

Section: Epidemiologymentioning

confidence: 99%

Multimodality imaging in the diagnosis and management of prosthetic valve endocarditis: A contemporary narrative review

Presti¹,

Elajami²,

Zmaili³

et al. 2021

WJC

Self Cite

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Infective endocarditis is one of the leading life-threatening infections around the world. With the exponential growth in the field of transcatheter interventions and advances in specialized surgical techniques, the number of prosthetic valves and cardiac implantable devices has significantly increased. This has led to a steep rise in the number of cases of prosthetic valve endocarditis (PVE) comprising up to 30% of all cases. Clinical guidelines rely on the use of the modified Duke criteria; however, the diagnostic sensitivity of the modified Duke criteria is reduced in the context of PVE. This is in part attributed to prosthesis related artifact which greatly affects the ability of echocardiography to detect early infective changes related to PVE in certain cases. There has been increasing recognition of the roles of complementary imaging modalities and updates in international society recommendations. Prompt diagnosis and treatment can prevent the devastating consequences of this condition. Imaging modalities such as cardiac computed tomography and 18 -fluorodeoxyglucose positron emission tomography/computed tomography are diagnostic tools that provide a complementary role to echocardiography in aiding diagnosis, pre-operative planning, and treatment decision-making process in these challenging cases. Understanding the strengths and limitations of these adjuvant imaging modalities is crucial for the implementation of appropriate imaging modalities in clinical practice.

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ESC guidelines 2023 on the management of endocarditis

de Waha,

Desch,

Tilz

et al. 2023

Herz

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Contemporary Outcomes of Pulmonary Valve Endocarditis: A 16-Year Single Centre Experience

Cited by 12 publications

References 13 publications

Unexpected isolated native pulmonary valve endocarditis; really benign as thought?

Unexpected isolated native pulmonary valve endocarditis; really benign as thought?

Multimodality imaging in the diagnosis and management of prosthetic valve endocarditis: A contemporary narrative review

ESC guidelines 2023 on the management of endocarditis

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