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Dysplastic Pulmonary Valve Infective Endocarditis With an Atrial Septal Defect-A Black Swan Event: When Rarity Brings
Heena M Desai1, Ritika Tapadia2, Gayathri P Amonkar3
1From the Department of Pathology, Topiwala National Medical College and BYL Nair Ch. Hospital.
The American Journal of Forensic Medicine and Pathology
|October 4, 2022
Summary
Infective endocarditis affecting a dysplastic pulmonic valve with an atrial septal defect was documented. This case highlights the rising incidence of right-sided endocarditis, particularly involving the pulmonary valve.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- Right-sided endocarditis is increasingly reported due to invasive cardiac procedures and intravenous drug abuse.
- While the tricuspid valve is most commonly affected, pulmonary valve involvement is rising.
- Dysplastic pulmonic valves represent a potential risk factor for infective endocarditis.
Observation:
- A case of infective endocarditis involving a dysplastic pulmonic valve and an atrial septal defect is presented.
- The patient's clinical presentation and diagnostic findings are detailed.
- The specific challenges in diagnosing and managing right-sided endocarditis are highlighted.
Findings:
- Infective endocarditis can occur on a dysplastic pulmonic valve, even in the presence of an atrial septal defect.
- The pulmonary valve is an increasingly recognized site for right-sided endocarditis.
- Early diagnosis and appropriate treatment are crucial for favorable outcomes.
Implications:
- This case underscores the importance of considering pulmonary valve endocarditis in patients with risk factors.
- Awareness of this entity is crucial for clinicians managing patients with congenital heart defects and intravenous drug users.
- Further research into risk factors and optimal management strategies for pulmonary valve endocarditis is warranted.
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