Pulmonary Endarteritis and Subsequent Embolization to the Lung as a Complication of a Patent Ductus Arteriosus

Bilge, Mehmet; Üner, Abdurrahman; Özeren, Ali; Aydın, Mustafa; Demirel, Fatma; Ermiş, Bahri; Ozkokeli, Mehmet

doi:10.1177/000331970405500115

Cited by 20 publications

(22 citation statements)

References 9 publications

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“…It is rare for silent PDA to occur concomitant with pulmonary endarteritis (2). Furthermore, it is extremely rare for PDA to be accompanied by pulmonary endarteritis and pulmonary embolism; to our knowledge, it has previously been reported in only a few cases (4,5).…”

Section: Discussionmentioning

confidence: 70%

Pulmonary Endarteritis and Subsequent Pulmonary Embolism Associated with Clinically Silent Patent Ductus Arteriosus

Onji

Matsuura

2007

Intern. Med.

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A 49-year-old man without heart murmur was admitted with fever because of bacteremia following a tooth extraction. Antibiotics rapidly alleviated the fever; however, a small nodule in the pulmonary artery was identified on computed tomography (CT). When the patient experienced chest discomfort with fever, CT demonstrated the absence of the nodule and the appearance of an abnormal lung opacity, and echocardiography showed turbulent retrograde flow in the pulmonary artery. We had the rare opportunity to follow a case of pulmonary bacterial endarteritis and subsequent pulmonary embolism with clinically silent patent ductus arteriosus (PDA) that was confirmed by 3-dimensional CT.

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Section: Discussionmentioning

confidence: 70%

Pulmonary Endarteritis and Subsequent Pulmonary Embolism Associated with Clinically Silent Patent Ductus Arteriosus

Onji

Matsuura

2007

Intern. Med.

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“…[67] Bilge et al ., in their case report of pulmonary endarteritis in PDA, underlines the importance of echocardiography in not only making this rare diagnosis but also as an effective means of following up such a case. [8] Apart from PDA, a single report exists of pulmonary endarteritis occurring after anatomical correction of complete transposition of the great arteries. [9] To the best of our knowledge and available resources, our case report of pulmonary endarteritis in a child of single ventricle is probably the first such so far.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary endarteritis, cerebral abscesses, and a single ventricle: An uncommon combination

Sarkar

Ahmed

Chandra

et al. 2012

Journal of Cardiovascular Disease Research

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Endocarditis of the right side of the heart is otherwise uncommon in children. Pulmonary endarteritis as a complication of congenital heart disease is even rarer. Herein, we report the case of pulmonary endarteritis with a 7 mm ×5 mm vegetation, involving the main pulmonary artery in a 4-year-old male child, with cyanosis and a 1-week history of fever and rapidly-progressive hemiparesis. A full segmental echocardiography demonstrated a double inlet left ventricle with left-sided subaortic hypoplastic right ventricle (Van Praagh's A-III type – Single Ventricle). Additionally, CT scan of the brain revealed bilateral cerebral abscesses. To the best of our knowledge, the occurrence of pulmonary endarteritis and cerebral abscesses in a case of single ventricle is hitherto unreported. This article underlines the importance of heightened clinical awareness and meticulous echocardiography in cases of congenital heart disease so that relatively rare complications may not be missed.

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“…A few cases of a PDA accompanied by pulmonary endarteritis, with or without subsequent pulmonary infiltrations, have been reported [5][6][7][8][9][10][11]. Blood cultures in these case reports grew Gamella species, group D Streptococcus, Streptococcus mitis, S. capitis, S. millei, and S. viridans.…”

Section: Discussionmentioning

confidence: 99%

A turbulent cause of bilateral pneumonia

Bathoorn

Heitbrink

Reichert

et al. 2009

European Respiratory Journal

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A 62-yr-old female presented with complaints of progressive chest pain, increasing in severity with inspiration, a productive cough and fever for 2 days. Moreover, she had lost 12 kg in weight in the last 3 months and was experiencing night sweats. During this period, she had a folliculitis in her axilla. Her medical history yielded diabetes mellitus type II, hypertension and anaemia. Transthoracic echocardiography, performed 4 years ago, had shown flow abnormalities in the pulmonary artery and left ventricular volume overload. The patients' medication included metformin, insulin, hydrochlorothiazide, simvastatin, metoprolol, ferrofumerate and vitamin B.On physical examination, a pale and cachectic patient was seen. Her body temperature was 39uC, with a heart rate of 104 beats?min -1 , respiratory rate of 20 breaths?min -1 and blood pressure of 160/65 mmHg. Chest auscultation revealed normal breath sounds, a 2/6 systolic murmur in the right parasternal area and a 1/6 continuous murmur in the left parasternal area. Otherwise, physical examination was normal.An overview of investigations is presented in table 1. A chest radiograph was performed upon admission ( fig. 1) and a contrast-enhanced computed tomography (CT) scan was performed before and after treatment (figs 2 and 3, respectively). A CT scan was also obtained in the parenchymal setting ( fig. 4).

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Pulmonary Endarteritis and Subsequent Embolization to the Lung as a Complication of a Patent Ductus Arteriosus

Cited by 20 publications

References 9 publications

Pulmonary Endarteritis and Subsequent Pulmonary Embolism Associated with Clinically Silent Patent Ductus Arteriosus

Pulmonary Endarteritis and Subsequent Pulmonary Embolism Associated with Clinically Silent Patent Ductus Arteriosus

Pulmonary endarteritis, cerebral abscesses, and a single ventricle: An uncommon combination

A turbulent cause of bilateral pneumonia

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