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Published on: February 8, 2022
[Infective endocarditis of both atrioventricular valves in a young man with atrioventricular canal defect - a case
Ireneusz Jedliński1, Ryszard Kalawski, Paweł Bugajski
1Oddział Kardiologiczny, Szpital im. J. Strusia, Poznań. irejed@wp.pl
Insights
This case study details a 33-year-old man with infective endocarditis on both atrioventricular valves, complicated by a congenital atrioventricular canal defect. Treatment involved antibiotics and preparation for heart surgery.
Area of Science:
- Cardiology
- Infectious Diseases
- Congenital Heart Defects
Background:
- Infective endocarditis is a serious infection of the heart valves.
- Congenital heart defects, such as atrioventricular canal defects, can predispose individuals to cardiac complications.
- Coexistence of these conditions presents unique diagnostic and therapeutic challenges.
Observation:
- A 33-year-old male presented with symptoms suggestive of infective endocarditis.
- Diagnostic imaging revealed vegetations on both atrioventricular valves.
- A complete atrioventricular canal defect was identified as a coexisting congenital anomaly.
Findings:
- The patient was diagnosed with infective endocarditis affecting both mitral and tricuspid valves.
- Echocardiography confirmed the presence of a complete atrioventricular canal defect.
- Vegetations were clearly visualized on the affected valves.
Implications:
- This case highlights the importance of considering infective endocarditis in patients with congenital heart disease.
- Combined antibiotic therapy is crucial for managing the infection.
- Surgical correction is often necessary for both the defect and the valve damage.
Abstract:
We report a case of a 33-year-old man with infective endocarditis of both atrioventricular valves coexisting with a congenital heart defect: atrioventricular canal defect. Transthoracic and transesopageal echocardiography showed complete atrioventricular canal defect and vegetations affecting both the normal mitral and tricuspid valves. The patient received a combined antibiotic therapy and was qualified for cardiosurgical correction.
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