hvsa
Home
Courses
Course Objectives
Programs
CME Credits
Cases and Abstract Submissions
venue and accomodations
HVSA
Directors and Faculty
Videos
Register

 

New York City Conference

Back to 2014 Annual Meeting Abstracts


Ventricular Septal Defect with Pulmonary Valve Endocarditis with Vegetation - Successful Surgical Treatment in Apollo Hospitals, Dhaka
Nuruddin M. Zahangir, Sayed Tanvir Ahmed, Firoz Ahmed, Saiful Islam Khan, Md Makbul Hossain, Nazmus Sakib Khan, Niaz Ahmed, Md. Zulfiqur Haider.
Apollo Hospitals Dhaka, Dhaka, Bangladesh.

BACKGROUND: Pulmonary valve endocarditis is an uncommon disease, noted in 1.5 to 2.0% of all cases of infective endocarditis. Pulmonary valve vegetation with ventricular septal defect needs early surgical intervention for good outcome. METHODS: A 21 years old gentleman got admitted in Apollo Hospitals Dhaka, with the complaints of dyspnoea on exertion since childhood. He suffered from chronic fever one month back and was being treated by intravenous antibiotics for last one month. Blood culture became negative. Echocardiogram revealed- a large Perimembranous Ventricular Septal Defect with left to right shunt, moderate Pulmonary Stenosis, vegetation attached with Pulmonary Valve leaflet moving during systole & diastole. During operation Ventricular Septal Defect was closed by Dacron patch. Large vegetation was excised from anterior cusp of pulmonary valve. A perforation in right cusp of pulmonary valve was repaired with pericardial patch. Some hypertrophied parietal bands were excised. Maximum sized Hegar's dilator passed through pulmonary valve. After weaning from cardio-pulmonary bypass, Transoesophageal Echocardiogram revealed well functioning ventricles and no leakage through the repaired Ventricular Septal Defect and pericardial patch in pulmonary valve leaflet. RESULTS: Culture Sensitivity from vegetation showed no growth and histopathological examination revealed tissue consistent with vegetation of Pulmonary Valve. Post operative echocardiogram showed no residual shunt or vegetation. The patient was discharged on 8th post operative day in good general condition. Intravenous antibiotic was continued for 4 weeks. CONCLUSIONS: Pulmonary valve endocarditis with vegetation with ventricular septal defect is a rare association. Early operative intervention gives good result.


Back to 2014 Annual Meeting Abstracts

     

Home | Courses | Objectives | Program | CME Credit | Cases & Abstracts | Venu & Accomodations | HVSA | Committee & Faculty | Register | Privacy Policy