Right-sided endocarditis and restrictive ventricular septal defect, an echocardiographic challenge: case report.

Authors

DOI:

https://doi.org/10.37615/retic.v9n2a9

Keywords:

congenital heart diseases, echocardiography, ventricular septal defect, infective endocarditis, case reports

Abstract

Right-sided infective endocarditis (IE) accounts for 5–10% of all IE cases and is frequently associated with congenital heart disease. Although restrictive ventricular septal defects (VSDs) with normal pulmonary arterial pressure generally do not require intervention, they carry a risk of developing IE or other complications over time. We present the case of a 38-year-old man with a history of unrepaired restrictive VSD who developed IE due to Streptococcus mitis following a dental procedure. The patient was successfully treated with long-term antibiotic therapy, without requiring surgical intervention.

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References

Baumgartner H, De Backer J, Babu-Narayan SV, et al. ESC Scientific Document Group. 2020 ESC Guidelines for the management of adult congenital heart disease. Eur Heart J. 2021;42(6):563-645. doi: https://doi.org/10.1093/eurheartj/ehaa554

Delgado V, Ajmone Marsan N, de Waha S, et al. ESC Scientific Document Group. 2023 ESC Guidelines for the management of endocarditis. Eur Heart J. 2023;44(39):3948-4042. doi: https://doi.org/10.1093/eurheartj/ehad193

Shmueli H, Thomas F, Flint N, et al. Right-Sided Infective Endocarditis 2020: Challenges and Updates in Diagnosis and Treatment. J Am Heart Assoc. 2020;9(15). doi: https://doi.org/10.1161/JAHA.120.017293

Eckerström F, Nyboe C, Redington A, et al. Lifetime Burden of Morbidity in Patients With Isolated Congenital Ventricular Septal Defect. J Am Heart Assoc. 2023;12(1). doi: https://doi.org/10.1161/JAHA.122.027477

Gabriel HM, Heger M, Innerhofer P, et al. Long-term outcome of patients with ventricular septal defect considered not to require surgical closure during childhood. J Am Coll Cardiol. 2002;39(6):1066-71. doi: https://doi.org/10.1016/s0735-1097(02)01706-0

Gersony WM, Hayes CJ, Driscoll DJ, et al. Bacterial endocarditis in patients with aortic stenosis, pulmonary stenosis, or ventricular septal defect. Circulation. 1993;87(2 Suppl):I121-6.

Hellwege, R.S., Gawaz, M. Right-sided infective endocarditis in association with a left-to-right shunt complicated by haemoptysis and acute renal failure: a case report. BMC Cardiovasc Disord. 20, 494 (2020). https://doi.org/10.1186/s12872-020-01772-y

Munawar F, Ahmed I. Right-sided infective endocarditis with ventricular septal defect. Pak J Med Sci. 2024;40(7):1587-1590. doi: https://doi.org/10.12669/pjms.40.7.8219

Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019;73(12). doi: https://doi.org/10.1016/j.jacc.2018.08.1028

Published

2026-08-24

How to Cite

1.
Litwak N. Right-sided endocarditis and restrictive ventricular septal defect, an echocardiographic challenge: case report. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2026 Aug. 24 [cited 2026 Aug. 26];9(2):44-7. Available from: https://imagenretic.org/RevEcocarPract/article/view/776