Infective endocarditis of a patent arterial duct in an adult, with vegetations extending to the aortic and pulmonary valves

Aggarwal, Suneil; Barik, Ramachandra

doi:10.1017/s1047951107001059

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…In addition, considering pulmonary embolization from the dislodgement of vegetation and the incomplete elimination of infective foci, complete resection of PDA and closure, under direct vision, was strongly suggested [3]. Infected emboli are common, and the frequently involved site is the pulmonary arterial wall, opposite to the opening of PDA [3,4,5]. To suspect the possibility of embolic vegetation on the pulmonary artery is reasonable, even if vegetation is preoperatively noticed only on the left side valve, as in our case.…”

Section: Discussionmentioning

confidence: 99%

Multiple Embolic Aortic Valve Endocarditis with Small Patent Ductus Arteriosus in Adult

Kim

Song

Kim

et al. 2014

Korean J Thorac Cardiovasc Surg

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A 50-year-old female was admitted to Pusan National University Hospital with complaints of fatigue and sweating. Echocardiography showed a small patent ductus arteriosus (PDA) and highly mobile vegetations on the aortic valve. Emergency operation was performed due to the high risk of embolization and severe aortic regurgitation. When the pulmonary artery opened, we found unexpected fresh vegetation. The tissue of the PDA was fragile and infected. We successfully removed the infected tissue, closed the PDA with a patch, and replaced the aortic valve with a mechanical prosthesis.

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