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KMID : 0390620090170040138
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Journal of Cardiovascular Ultrasound
2009 Volume.17 No. 4 p.138 ~ p.140
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Pulmonary Valve Endocarditis with Septic Pulmonary Thromboembolism in a Patient with Ventricular Septal Defect
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Park Hyo-Eun
Kim Hyung-Kwan
Sohn Dae-Won
Kim Yong-Jin
Cho Goo-Yeong
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Abstract
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We describe a 42-year-old man who presented as life-threatening sepsis and septic shock with multiple septic pulmonary embolism and septic pneumonia due to pulmonary valve endocarditis. The patient had history of untreated ventricular septal defect (VSD) and complained of severe dyspnea and orthopnea. Transthoracic and transesophageal echocardiograms revealed severe pulmonary regurgitation with large, hypermobile vegetation on pulmonary valve and right ventricular outflow tract (RVOT), and a small subarterial type VSD. Emergency operation was done due to rapid deterioration of the patient, and after 6 weeks of antibiotics coverage, he was discharged.
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KEYWORD
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Pulmonary valve, Endocarditis, Ventricular septal defect
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