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Infective endocarditis-induced complete closure of a ventricular septal defect and complete heart block in a child

Umadevi Karuru1, Jay Relan1, Shyam S Kothari1

  • 1Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

Annals of Pediatric Cardiology
|May 9, 2022
PubMed

Insights

Infective endocarditis in a child led to irreversible complete heart block and a closed ventricular septal defect. This rare case highlights the severe cardiac complications of pediatric tricuspid valve infections.

Area of Science:

  • Pediatric Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Infective endocarditis, particularly on the tricuspid valve, is uncommon in children.
  • Ventricular septal defects (VSDs) are congenital heart abnormalities that can be associated with other cardiac conditions.

Observation:

  • A rare case of a child presenting with tricuspid valve infective endocarditis was observed.
  • The tricuspid valve vegetation was noted to cause significant obstruction.

Findings:

  • The patient developed irreversible complete heart block, a serious complication.
  • The infective endocarditis vegetation led to the complete closure of a perimembranous ventricular septal defect.
  • The VSD closure was incidentally discovered during surgical intervention.

Implications:

  • This case underscores the potential for severe cardiac compromise from pediatric tricuspid valve endocarditis.
  • Early recognition and management of infective endocarditis are crucial to prevent irreversible heart damage.
  • The interaction between endocarditis and pre-existing VSDs requires careful consideration in pediatric cardiac care.

Keywords:
Complete heart blocktricuspid valve endocarditisventricular septal defect

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