Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review
Abstract Background Isolated pulmonary valve endocarditis (IPE) is rare, accounting for 1.5–2% of all cases of infective endocarditis. Herein, we describe a case of isolated pulmonary valve endocarditis with rapid progression in a 28-year-old male. Unlike most patients reported previously who were c...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-020-01375-w |
| _version_ | 1819176575686410240 |
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| author | Ming-Xuan Zhang Wei-Min Zhang Chan Yu Bo-Wen Zhao Ran Chen Mei Pan Bei Wang |
| author_facet | Ming-Xuan Zhang Wei-Min Zhang Chan Yu Bo-Wen Zhao Ran Chen Mei Pan Bei Wang |
| author_sort | Ming-Xuan Zhang |
| collection | DOAJ |
| description | Abstract Background Isolated pulmonary valve endocarditis (IPE) is rare, accounting for 1.5–2% of all cases of infective endocarditis. Herein, we describe a case of isolated pulmonary valve endocarditis with rapid progression in a 28-year-old male. Unlike most patients reported previously who were cured with only anti-infective therapy, without surgery at an early stage, multiple complications occurred in this patient in less than 2 weeks. Case presentation The patient was diagnosed with pulmonary valve endocarditis with blood cultures showing Staphylococcus aureus and echocardiography revealing 2 masses (measuring 14*13 mm、11*16 mm in size). Only 12 days later, acute massive pulmonary embolism occurred. Then, repeated echocardiography revealed multiple masses attached to the pulmonary valve with severe pulmonary insufficiency and the possibility of pulmonary valve destruction. Finally, pulmonary valve replacement, vegetation removal, and right pulmonary thromboendarterectomy together with resection of the middle and lower lobes of the right lung were performed. Conclusions The role of surgery at an early stage might need to be reconsidered, and it may be viable to combine medical and surgical approaches. |
| first_indexed | 2024-12-22T21:12:57Z |
| format | Article |
| id | doaj.art-2b363754159e4f9c852a86e955b77d02 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-22T21:12:57Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-2b363754159e4f9c852a86e955b77d022022-12-21T18:12:27ZengBMCJournal of Cardiothoracic Surgery1749-80902021-01-011611510.1186/s13019-020-01375-wIsolated pulmonary valve endocarditis with rapid progression: a case report and literature reviewMing-Xuan Zhang0Wei-Min Zhang1Chan Yu2Bo-Wen Zhao3Ran Chen4Mei Pan5Bei Wang6Department of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Cardiac Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineDepartment of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of MedicineAbstract Background Isolated pulmonary valve endocarditis (IPE) is rare, accounting for 1.5–2% of all cases of infective endocarditis. Herein, we describe a case of isolated pulmonary valve endocarditis with rapid progression in a 28-year-old male. Unlike most patients reported previously who were cured with only anti-infective therapy, without surgery at an early stage, multiple complications occurred in this patient in less than 2 weeks. Case presentation The patient was diagnosed with pulmonary valve endocarditis with blood cultures showing Staphylococcus aureus and echocardiography revealing 2 masses (measuring 14*13 mm、11*16 mm in size). Only 12 days later, acute massive pulmonary embolism occurred. Then, repeated echocardiography revealed multiple masses attached to the pulmonary valve with severe pulmonary insufficiency and the possibility of pulmonary valve destruction. Finally, pulmonary valve replacement, vegetation removal, and right pulmonary thromboendarterectomy together with resection of the middle and lower lobes of the right lung were performed. Conclusions The role of surgery at an early stage might need to be reconsidered, and it may be viable to combine medical and surgical approaches.https://doi.org/10.1186/s13019-020-01375-wInfective endocarditisPulmonary valvePulmonary embolismSurgeryCase report |
| spellingShingle | Ming-Xuan Zhang Wei-Min Zhang Chan Yu Bo-Wen Zhao Ran Chen Mei Pan Bei Wang Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review Journal of Cardiothoracic Surgery Infective endocarditis Pulmonary valve Pulmonary embolism Surgery Case report |
| title | Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review |
| title_full | Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review |
| title_fullStr | Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review |
| title_full_unstemmed | Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review |
| title_short | Isolated pulmonary valve endocarditis with rapid progression: a case report and literature review |
| title_sort | isolated pulmonary valve endocarditis with rapid progression a case report and literature review |
| topic | Infective endocarditis Pulmonary valve Pulmonary embolism Surgery Case report |
| url | https://doi.org/10.1186/s13019-020-01375-w |
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