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Isolated right ventricular outflow tract mass presenting as hemoptysis
K M Uppal1, I N Nuño, D S Schwartz
1Department of Cardiothoracic Surgery, University of Southern California School of Medicine, Los Angeles 90033, USA.
The Annals of Thoracic Surgery
|January 13, 2001
Summary
Infective endocarditis rarely presents as a right ventricular outflow tract mass. This case highlights a successful surgical resection of such a rare cardiac mass.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- Infective endocarditis typically affects heart valves.
- Isolated right ventricular outflow tract masses are uncommon presentations of endocarditis.
Observation:
- A 34-year-old male presented with hemoptysis and fevers.
- Diagnostic imaging revealed an isolated vegetation in the right ventricular outflow tract.
Findings:
- Despite antibiotic therapy for endocarditis, the patient developed septic emboli and acute respiratory distress.
- Surgical resection of the ventricular mass was successfully performed.
Implications:
- This case underscores the importance of considering rare cardiac presentations of infective endocarditis.
- Prompt surgical intervention may be necessary for isolated right ventricular outflow tract masses to prevent severe complications.