Turk Kardiyol Dern Ars. 2022; 50(7): 527-530 | DOI: 10.5543/tkda.2022.21318
Bacterial Infective Endocarditis Associated with Gerbode Ventricular Septal Defect: A Case Report
Kemal Emrecan Parsova1, Mesut Karataş2, Ahmet Zengin3, Yusuf Kağan Poçan4, Nursen Keles31Department of Cardiology, Zile State Hospital, Tokat, Turkey
2Department of Cardiology, University of Health Sciences, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey
3Department of Cardiology, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
4Department of Cardiovascular Surgery, University of Health Sciences, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
A 61-year-old male presented to emergency department with symptoms of shortness of breath, palpitations, and night sweats. We performed bedside transthoracic echocardiography which showed shunt from the left ventricle to the right atrium in systole with color Doppler examination. Gerbode-type ventricular septal defect and an image of a fibrillar, mobile mass compatible with vegetation was observed just above the tricuspid valve. We performed trans-esophageal echocardiography which showed vegetations on the aortic valve noncoronary cusp. Two sets of blood cultures were positive for Streptococcus sanguinis. The patient was evaluated by the heart team and an operation decision was made for the patient. The patient underwent surgery after 2 weeks of antibiotic theraphy. In the surgery, the Gerbode-type ventricular septal defect was closed with a polytetrafluoroethylene patch. Tricuspid annuloplasty was performed with De Vega technique. Mechanical aortic valve was implanted. Postoperative transthoracic echocardiography showed no residual shunt.
Keywords: Echocardiography, infective endocarditis, Gerbode ventricular septal defect
Corresponding Author: Kemal Emrecan Parsova
Manuscript Language: English