Archives of the
Turkish Society of Cardiology
Case Report

Bacterial Infective Endocarditis Associated with Gerbode Ventricular Septal Defect: A Case Report

1.

Department of Cardiology, University of Health Sciences Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey

2.

Department of Cardiology, Zile State Hospital, Tokat, Turkey

3.

Department of Cardiology, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

4.

Department of Cardiovascular Surgery, University of Health Sciences Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

Archives of the Turkish Society of Cardiology 2022; 50: 527-530
DOI: 10.5543/tkda.2022.21318
Read: 255 Downloads: 85 Published: 30 September 2022

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 transesophageal 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.

Cite this article as: Karataş M, Parsova KE, Zengin A, Poçan YK, Keleş N. Bacterial infective endocarditis associated with gerbode ventricular septal defect: A case report. Turk Kardiyol Dern Ars. 2022;50(7):527-530.

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ISSN 1016-5169 EISSN 1308-4488