Gaint atrial vegetation complicated with multiple pulmonary abceses

Authors

  • Cyntia Zulema Machain Leyva Instituto Mexicano del Seguro Social

DOI:

https://doi.org/10.37615/retic.v4n3a12

Keywords:

Right infective endocarditis, pulmonary abscesses, pseudomonas aureginosa.

Abstract

Right infective endocarditis (IE) causes 5-10% of IE cases. It is more common in intravenous drug abuser, although it can occur in patients with intracardiac devices, venous catheters, or congenital heart disease. The most common manifestations are persistent fever, bacteremia, and pulmonary septic emboli. Surgery is recommended when symptoms are intractable, failure of medical treatment, or recurrent septic emboli. We present the case of an immunosuppressed 44-year-old male patient, who presented with endocarditis associated with a hemodialysis catheter, with right atrial vegetation complicated by multiple pulmonary septic emboli, who underwent successful vegetation removal surgery.

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References

Frontera JA, Gradon JD. Right-side endocarditis in injection drug users: review of proposed mechanisms of pathogenesis. Clin Infect Dis. 2000;30:374–9.

2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology. European Heart Journal (2015) 36, 3075–3123.

San Roman JA, Vilacosta I, Lopez J, Revilla A, Arnold R, Sevilla T, Rollan MJ. Role of transthoracic and transesophageal echocardiography in right-sided endocarditis: one echocardiographic modality does not fit all. J Am Soc Echocardiogr. 2012;25:807–14.

San Roman JA, Vilacosta I, Zamorano JL, Almeria C, Sanchez-Harguindey L. Transesophageal echocardiography in right-sided endocarditis. J Am Coll Cardiol. 1993;21:1226–30.

Gaca JG, Sheng S, Daneshmand M, Rankin JS, Williams ML, O’Brien SM, Gammie S. Current outcomes for tricuspid valve infective endocarditis surgery in North America. Ann Thorac Surg. 2013;96:1374–81.

Akinosoglou K, Apostolakis E, Koutsogiannis N, Leivaditis V, Gogos CA. Rightsided infective endocarditis: surgical management. Eur J Cardiothorac Surg. 2012;42:470–9

Published

2021-12-31

How to Cite

1.
Machain Leyva CZ. Gaint atrial vegetation complicated with multiple pulmonary abceses. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2021 Dec. 31 [cited 2024 Dec. 4];4(3):44-6. Available from: https://imagenretic.org/RevEcocarPract/article/view/403