Acquired ventricular septal defect due to infective endocarditis
Randi E Durden1, Joseph W Turek1, Benjamin E Reinking1
1Department of Pediatrics, Division of Pediatric Cardiology, The University of Iowa Stead Family Children's Hospital, lowa, USA.
Annals of Pediatric Cardiology
|February 15, 2018
Summary
Acquired ventricular septal defects (VSD) are rare, often caused by trauma or infection. This study details a pediatric case of VSD secondary to infective endocarditis, highlighting a unique presentation.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Infectious Diseases
Background:
- Acquired intracardiac left-to-right shunts, such as ventricular septal defects (VSD), are uncommon clinical events.
- Established causes include chest trauma and myocardial infections.
- Left ventricle to right atrium shunts have been reported following infective endocarditis (IE).
Observation:
- A pediatric patient with a known bicuspid aortic valve presented with an acquired VSD.
- The VSD was found to be secondary to infective endocarditis (IE) affecting the aortic and tricuspid valves.
Findings:
- This case represents the first reported instance of an acquired VSD in a pediatric patient resulting from infective endocarditis.
- The findings contribute to the understanding of rare cardiac complications of IE.
Implications:
- This case underscores the importance of considering IE as a cause of acquired VSD, even in pediatric populations.
- Further research into the mechanisms and management of IE-induced cardiac defects is warranted.
- Highlights the potential for rare cardiac presentations in pediatric patients with underlying valve abnormalities.
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