Pulmonary valve endocarditis in adults with congenital heart disease: the role of echocardiography in a case series.

Case series Congenital heart disease Echocardiography Endocarditis Pulmonary prosthesis Pulmonary valve

Journal

European heart journal. Case reports
ISSN: 2514-2119
Titre abrégé: Eur Heart J Case Rep
Pays: England
ID NLM: 101730741

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 06 02 2020
revised: 02 03 2020
accepted: 11 06 2020
entrez: 18 11 2020
pubmed: 19 11 2020
medline: 19 11 2020
Statut: epublish

Résumé

Pulmonary valve (PV) endocarditis is a frequent complication during follow-up in patients with repaired right ventricular outflow tract (RVOT) obstruction and poses relevant diagnostic and treatment challenges. We aimed to describe in details the possible different clinical presentations of this rare condition and to highlight the role of both transthoracic and transoesophageal echocardiography which, in experienced hands, may provide comprehensive useful information for the clinicians. We below describe the clinical presentation and the echo findings of three cases of pulmonary valve endocarditis complicating disease course after different repair modalities of congenital right ventricular outflow tract obstruction. The present case series outlines the diagnostic challenges of this increasingly frequent complication during follow-up of patients with congenital RVOT dysfunction after both surgical and percutaneous repair. Despite the diffusion of multimodality imaging, echocardiography with PV-dedicated views play a pivotal role in diagnosing such condition and guiding clinical management. Furthermore, this case series highlight that the suspicion of infective endocarditis should be raised whenever a sudden increase in transvalvular gradient is found during follow-up.

Sections du résumé

BACKGROUND BACKGROUND
Pulmonary valve (PV) endocarditis is a frequent complication during follow-up in patients with repaired right ventricular outflow tract (RVOT) obstruction and poses relevant diagnostic and treatment challenges. We aimed to describe in details the possible different clinical presentations of this rare condition and to highlight the role of both transthoracic and transoesophageal echocardiography which, in experienced hands, may provide comprehensive useful information for the clinicians.
CASE SUMMARY METHODS
We below describe the clinical presentation and the echo findings of three cases of pulmonary valve endocarditis complicating disease course after different repair modalities of congenital right ventricular outflow tract obstruction.
DISCUSSION CONCLUSIONS
The present case series outlines the diagnostic challenges of this increasingly frequent complication during follow-up of patients with congenital RVOT dysfunction after both surgical and percutaneous repair. Despite the diffusion of multimodality imaging, echocardiography with PV-dedicated views play a pivotal role in diagnosing such condition and guiding clinical management. Furthermore, this case series highlight that the suspicion of infective endocarditis should be raised whenever a sudden increase in transvalvular gradient is found during follow-up.

Identifiants

pubmed: 33204982
doi: 10.1093/ehjcr/ytaa195
pii: ytaa195
pmc: PMC7649497
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1-7

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology.

Références

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Auteurs

Flavia Fusco (F)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Giancarlo Scognamiglio (G)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Anna Correra (A)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Assunta Merola (A)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Diego Colonna (D)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Michela Palma (M)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Emanuele Romeo (E)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Berardo Sarubbi (B)

Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Leonardo Bianchi Street 1, 80131 Naples, Italy.

Classifications MeSH