Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Multiple Embolic Aortic Valve Endocarditis with Small Patent Ductus Arteriosus in Adult

  • Kim, Seon Hee (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Song, Seunghwan (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kim, Min Su (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kim, Sang-Pil (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Choi, Jung Hyun (Division of Cardiology, Department of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
  • Received : 2013.08.05
  • Accepted : 2013.09.17
  • Published : 2014.04.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 50-year-old female was admitted to Pusan National University Hospital with complaints of fatigue and sweating. Echocardiography showed a small patent ductus arteriosus (PDA) and highly mobile vegetations on the aortic valve. Emergency operation was performed due to the high risk of embolization and severe aortic regurgitation. When the pulmonary artery opened, we found unexpected fresh vegetation. The tissue of the PDA was fragile and infected. We successfully removed the infected tissue, closed the PDA with a patch, and replaced the aortic valve with a mechanical prosthesis.

Keywords

References

  1. Fortescue EB, Lock JE, Galvin T, McElhinney DB.Congenit Heart Dis 2010;5:354-65. https://doi.org/10.1111/j.1747-0803.2010.00435.x
  2. Ryu DW, Lee SY. Korean J Thorac Cardiovasc Surg 2010;43:89-91. https://doi.org/10.5090/kjtcs.2010.43.1.89
  3. Kareem BA, Kamarulzaman H, Koh GT. Ann Thorac Surg 2010;90:1703-5. https://doi.org/10.1016/j.athoracsur.2010.04.105
  4. Cagli K, Basar FN, Cagli K, et al. carditis/endarteritis in a young peripartum patient with patent ductus arteriosus and rheumatic heart valve disease: a case report. Echocardiography 2010;27:466-9. https://doi.org/10.1111/j.1540-8175.2009.01111.x
  5. Aggarwal SK, Barik R. Infective endocarditis of a patent arterial duct in an adult, with vegetations extending to the aortic and pulmonary valves. Cardiol Young 2007;17:565-6.