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Bacterial Infective Endocarditis Associated with Gerbode Ventricular Septal Defect: A Case Report
Mesut Karataş1, Kemal Emrecan Parsova2, Ahmet Zengin3
1Department of Cardiology, University of Health Sciences Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey.
Summary
A patient with shortness of breath had a Gerbode-type ventricular septal defect and aortic valve vegetations. Surgical repair and valve replacement successfully treated the condition, with no residual shunt post-operation.
Area of Science:
- Cardiology
- Cardiac Surgery
- Infective Endocarditis
Background:
- A 61-year-old male presented with symptoms suggestive of infective endocarditis and a cardiac shunt.
- Echocardiography is crucial for diagnosing complex cardiac abnormalities.
Observation:
- Bedside transthoracic echocardiography revealed a left ventricle to right atrium shunt during systole.
- Further imaging identified a Gerbode-type ventricular septal defect and vegetations near the tricuspid valve.
- Transesophageal echocardiography confirmed vegetations on the aortic valve noncoronary cusp, and blood cultures were positive for Streptococcus sanguinis.
Findings:
- The patient was diagnosed with a Gerbode-type ventricular septal defect and infective endocarditis.
- Successful surgical intervention included closure of the ventricular septal defect, tricuspid annuloplasty, and aortic valve replacement.
- Postoperative echocardiography confirmed the absence of any residual shunt.
Implications:
- This case highlights the importance of prompt diagnosis and multidisciplinary management of complex cardiac conditions.
- Surgical repair of Gerbode-type VSD combined with valve replacement can lead to favorable outcomes.
- Effective antibiotic therapy followed by surgical intervention is key in managing infective endocarditis with structural heart defects.
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