Mural endocarditis - by default
We report on a case of a 33-year-old female patient with known adult congenital heart disease in the form of a coronary cameral fistula who, on prior presentation, had refused treatment and subsequently defaulted follow-up, but unfortunately developed a serious and rare complication. She presented w...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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South African Heart Association
2021-07-01
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| Series: | SA Heart Journal |
| Subjects: | |
| Online Access: | https://www.journals.ac.za/index.php/SAHJ/article/view/4777 |
| _version_ | 1819000257760985088 |
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| author | A. Patel D. Kakooza T. Kalk N. Tsabedze |
| author_facet | A. Patel D. Kakooza T. Kalk N. Tsabedze |
| author_sort | A. Patel |
| collection | DOAJ |
| description | We report on a case of a 33-year-old female patient with known adult congenital heart disease in the form of a coronary cameral fistula who, on prior presentation, had refused treatment and subsequently defaulted follow-up, but unfortunately developed a serious and rare complication. She presented with non-specific neurological symptoms of transient visual loss and headaches. Clinical examination revealed aortic regurgitation with peripheral features of infective endocarditis. This was confirmed with transthoracic echocardiogram, but additionally, we found mural endocarditis of the right atrial posterior wall. An initial CT brain scan and ophthalmology assessments were negative, blood cultures were positive and confirmed infective endocarditis, and she was referred for urgent cardiothoracic surgery. Unfortunately, she had further complications with a large intracranial haemorrhage which ultimately led to her death. This case illustrates a rare entity with disastrous complications. |
| first_indexed | 2024-12-20T22:30:27Z |
| format | Article |
| id | doaj.art-7117848765fe4eaab028d75d884fe94c |
| institution | Directory Open Access Journal |
| issn | 1996-6741 2071-4602 |
| language | English |
| last_indexed | 2024-12-20T22:30:27Z |
| publishDate | 2021-07-01 |
| publisher | South African Heart Association |
| record_format | Article |
| series | SA Heart Journal |
| spelling | doaj.art-7117848765fe4eaab028d75d884fe94c2022-12-21T19:24:44ZengSouth African Heart AssociationSA Heart Journal1996-67412071-46022021-07-01181646710.24170/18-1-4777Mural endocarditis - by defaultA. Patel0D. Kakooza 1T. Kalk 2N. Tsabedze 3University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital University of the Witwatersrand University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital We report on a case of a 33-year-old female patient with known adult congenital heart disease in the form of a coronary cameral fistula who, on prior presentation, had refused treatment and subsequently defaulted follow-up, but unfortunately developed a serious and rare complication. She presented with non-specific neurological symptoms of transient visual loss and headaches. Clinical examination revealed aortic regurgitation with peripheral features of infective endocarditis. This was confirmed with transthoracic echocardiogram, but additionally, we found mural endocarditis of the right atrial posterior wall. An initial CT brain scan and ophthalmology assessments were negative, blood cultures were positive and confirmed infective endocarditis, and she was referred for urgent cardiothoracic surgery. Unfortunately, she had further complications with a large intracranial haemorrhage which ultimately led to her death. This case illustrates a rare entity with disastrous complications.https://www.journals.ac.za/index.php/SAHJ/article/view/4777non-valvular mural endocarditismural endocarditisadult congenital heart disease |
| spellingShingle | A. Patel D. Kakooza T. Kalk N. Tsabedze Mural endocarditis - by default SA Heart Journal non-valvular mural endocarditis mural endocarditis adult congenital heart disease |
| title | Mural endocarditis - by default |
| title_full | Mural endocarditis - by default |
| title_fullStr | Mural endocarditis - by default |
| title_full_unstemmed | Mural endocarditis - by default |
| title_short | Mural endocarditis - by default |
| title_sort | mural endocarditis by default |
| topic | non-valvular mural endocarditis mural endocarditis adult congenital heart disease |
| url | https://www.journals.ac.za/index.php/SAHJ/article/view/4777 |
| work_keys_str_mv | AT apatel muralendocarditisbydefault AT dkakooza muralendocarditisbydefault AT tkalk muralendocarditisbydefault AT ntsabedze muralendocarditisbydefault |