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Infective endocarditis following patch closure of ventricular septal defect: a cross-sectional Doppler echocardiographic study.

Abstract：

:Cross-sectional and Doppler echocardiographic characteristics of infective endocarditis are described in six cases following patch closure of a ventricular septal defect. The patients presented to us with fever one to five months after surgery. Five of them also had congestive cardiac failure. Cross-sectional echocardiography showed large masses over the patch in all cases. Dehiscence of the lower end of the patch was identified in three of them, and, in two cases, the right sinus of Valsalva had ruptured into the right ventricle. Doppler detected turbulent flow in the right ventricle in five cases, and a continuous signal indicating an aorto-right ventricular communication in two cases. A signal indicative of aortic regurgitation was also found in the latter two cases. Staphylococcus aureus was cultured from the blood in three cases and Aspergillus was identified at autopsy in one. The echocardiographic findings were confirmed in three cases (one during surgery and two at autopsy). Dehiscence of the patch and large masses were associated with a poor prognosis.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Shrivastava S,Radhakrishnan S

doi

10.1016/0167-5273(89)90158-7

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

27-31

issue

1

eissn

0167-5273

issn

1874-1754

pii

0167-5273(89)90158-7

journal_volume

25

pub_type

杂志文章

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