The perplexing clinical course of a 23-year-old black male with isolated gonococcal pulmonary valvular endocarditis is presented. M-mode echocardiography provided the first clue to the presence of pulmonary valvular vegetations and the proper diagnosis. Since Neisseria gonorrhea appears to have a particular affinity for the pulmonary valve, the presence of isolated pulmonary valvular endocardit...

infective endocarditis is a serious complication of intravenous (iv) drug abuse, with a reported mortality of 5 to 10%. a 21-year-old man, who was an intravenous drug abuser, presented with fever and dyspnea. transthoracic echocardiography showed a highly mobile, large vegetation on the anterior leaflet of the tricuspid valve. despite antibiotic therapy for ten days, the patient remained febril...

A 46-year-old male with advanced adenocarcinoma of the lung presented with venous thrombosis. Despite anticoagulants, he developed a stroke and bowel ischaemia. Echocardiography revealed mobile structures on the mitral valve and at the pulmonary artery origin (Fig. 1). Although treatment for endocarditis and pulmonary embolism was initiated, his condition deteriorated. However, blood cultures r...

Background and Purpose: Candida endocarditis is an infrequent disease with a high mortality rate, which commonly occurs in immunosuppressed patients with cardiac valve replacement. We reported a 70-year-old woman diagnosed with Candida prosthetic valve endocarditis (PVE). This study also involved a review of all published cases of Candida PVE from 1970. Case report: Herein, we reported a 70-ye...

background total correction of tetralogy of fallot (tof) anomaly in early childhood has been practiced in many centers with good results, but in some of patients after few years sever pulmonary valve insufficiency occurred. materials and methods at a cross- sectional study from january 2015 to january 2016, 10 patients who had history of primary repair of tof with free pulmonary insufficiency (...

Article type: Case report Herein, we present the case of a 10-year-old child suffering from right-sided infective endocarditis with ventricular septal defect. Echocardiography revealed multiple rare large vegetations on the pulmonary valve extending into pulmonary artery along with a large vegetation over the septal leaflet of tricuspid valve. Article history: Received: 04 Nov 2015 Revised: 24 ...

Brucella endocarditis is an uncommon but not rare manifestation of brucellosis in our country. We report six adult patients aged 20 to 45 years. Two of our patients were female, and this is the first time that Brucella endocarditis was reported in adult females. In five cases, aortic valve replacement was performed in addition to combined antibiotic therapy. One of them died due to immedia...

Echocardiography (M-mode and cross-sectional) disclosed premature opening of the pulmonary valve (very deep "a" wave) in a young man who underwent tricuspid valvulectomy without valve replacement 32 months before for refractory bacterial endocarditis. Cardiac catheterisation showed a prominent atrial wave on the pulmonary artery pressure curve. Thus, part of the right ventricular ejection appea...

Percutaneous Pulmonary Valve Implantation— Clinical Context For many congenital heart defects treated in infancy (eg, tetralogy of Fallot, transposition of the great arteries, double outlet right ventricle), long-term right ventricular outflow tract (RVOT) dysfunction, in the form of pulmonary stenosis and regurgitation, is a common finding as patients become older (older children, adolescents,...