Pulmonary valve endocarditis in a pregnant woman with a ventricular septal defect.

Abstract

Bacterial endocarditis in pregnancy causes maternal and fetal mortality rates of 22.1% and 14.7%, respectively. The mortality rates differ according to the involved valves, and the size of vegetation has a prognostic correlation. This report is of a pregnant woman with an unrepaired ventricular septal defect and pulmonary valve endocarditis with a vegetation size of 3.29 cm. She and her baby were treated successfully. An emergency surgical plan would be appropriate for pregnant women in the third trimester with a large vegetation in the right side of the heart, and dental disease should be treated aggressively with appropriate prophylactic antibiotics.

• Authors: Tsong-Yih Ou, Robert Fu-Chean Chen, Chun-Sen Hsu, Pai-Feng Kao, Fan-Lang Yu, Sing-On Teng, Wen-Sen Lee
• Journal: Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi (J Microbiol Immunol Infect) Vol. 42 Issue 1 Pg. 92-5 (Feb 2009) ISSN: 1995-9133 [Electronic] England
• PMID: 19424564 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Adult
• Anti-Bacterial Agents (therapeutic use)
• Electrocardiography
• Endocarditis, Bacterial (diagnosis, drug therapy, microbiology, pathology)
• Female
• Heart Septal Defects, Ventricular (complications, pathology)
• Humans
• Myocardium (pathology)
• Oral Surgical Procedures
• Pregnancy
• Pregnancy Complications, Cardiovascular
• Pregnancy Complications, Infectious (diagnosis, drug therapy, microbiology, pathology)
• Pulmonary Valve (microbiology, pathology)
• Streptococcal Infections (diagnosis, drug therapy, microbiology, pathology)
• Streptococcus sobrinus (isolation & purification)