Infective endocarditis of main pulmonary artery in tetralogy
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
"In this case report, the diagnostic implications and therapeutic consequences of TOF with infective endocarditis are discussed.A 7-year-old male known case of TOF presented to emergency room with a history of cyanotic spells. On the basis of clinical examination, he was cyanosed and was not able to maintain saturation, thus intubated and was planned to shift to operation room for emergency central shunt. Primary examination of transthoracic echo or angiography was not done; however, old echo confirmed the diagnosis of TOF. Detailed intraoperative examination of TEE revealed a large perimembranous ventricular septal defect (VSD) of 1.52 mm, overriding of aorta more than 50% and to our surprise a vegetation in MPA, measuring 1.67 mm × 0.735 mm , which is a rarity. Continuous-wave Doppler showed a gradient of 40?mmHg across VSD. The child was extubated after 5 days following recovery from pneumonia and discharged from the hospital on the 20th postoperative day, after full recovery. On the first follow-up visit, he had no complaints. His histopathology and culture report confirmed the diagnosis of bacterial endocarditis."...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971993/
Preview
Dr. R●●●l S●●●●●i and 4 others like this
Like
Comment
Share