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Subacute bacterial endocarditis and complete endocardial cushion defect

E L Bove, R E Kavey, H M Sondheimer

    The Annals of Thoracic Surgery
    |October 1, 1982
    PubMed
    Summary

    Subacute bacterial endocarditis is a rare complication of complete endocardial cushion defect affecting the atrioventricular (AV) valve. This case report details the successful diagnosis and complete repair of active endocarditis in an 18-year-old patient.

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    Area of Science:

    • Cardiology
    • Pediatric Cardiology
    • Cardiac Surgery

    Background:

    • Complete endocardial cushion defect is a congenital heart anomaly.
    • Subacute bacterial endocarditis is a serious infection of the heart valves.
    • Involvement of the common atrioventricular (AV) valve in endocarditis is uncommon.

    Observation:

    • An 18-year-old patient presented with subacute bacterial endocarditis.
    • The infection involved the common atrioventricular (AV) valve.
    • Diagnosis was confirmed using two-dimensional echocardiography.

    Findings:

    • The patient had a complete endocardial cushion defect.
    • Active endocarditis was present on the common AV valve.
    • Surgical repair of the affected valve was successfully performed.

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    Implications:

    • This case highlights the possibility of successful complete repair of active endocarditis on a common AV valve in patients with endocardial cushion defects.
    • Early diagnosis and surgical intervention are crucial for favorable outcomes.
    • This report contributes to the limited literature on managing this complex condition.