J.Jpn. Surg. Soc.. 85(5): 492-498, 1984
Original article
THREE SURGICALLY TREATED CASES OF INFECTIVE ENDOCARDITIS IN CHILDHOOD
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Second Department of Surgery, University of Kurume School of Medicine, Kurume, Japan Shigeaki Aoyagi, Takemi Kawara, Hiroki Nakamura, Teruo Sakamoto, Hirohito Imamura, Toshiyuki Tajiri, Haruo Akagawa, Kenichi Kosuga, Kiroku Oishi, Michihiro Koga |
Case 1: A 8 year-old boy was admitted with high fever and cogestive heart failure. Aureus staphylococci were identified by blood culture. Echocardiogram showed a vegetating mass on the posterior mitral leaflet. This patient was cured by emergency mitral valve replacement during the active phase of infection.
Case 2: A 3 year-old girl was admitted with infective endocarditis related to VSD. Viridans streptococci were identified by blood cuoture. Echocardiogram showed a vegatating mass on the septal tricuspid leafet. After successful antibiotic therapy, this patient underwent the closure of VSD and tricuspid valvuloplasty.
Case 3: A 7 year-old boy was admitted with infective endocarditis related to VSD. Aureus staphylococci were identified with blood culture. Echocardiogram showed a vegetating mass on the anterior tricuspid leaflet and moderate tricuspid regurgitation. After successful antibiotic therapy, this patient underwent the closure of VSD and tricuspid valvuloplasty.
We believe that echocardiography plays an important role in the diagnosis and management of infective endocarditis and that tricuspid valvuloplasty is the method of first choice in treatment of the patient with regional tricuspid infective endocarditis.
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