Endocarditis with multiple intracardiac shunts: identification and repair

Ann Thorac Surg. 1995 Mar;59(3):753-5. doi: 10.1016/0003-4975(94)00578-8.

Abstract

An 8-year-old boy who suffered from Hirschsprung's disease had development of tricuspid valve endocarditis that progressed to aortic root abscess formation, development of a fistulous communication between aorta and right atrium, atrial and ventricular septal defects, and a left ventricle to right atrium defect. Several surgical procedures were required. Operation consisted initially of closure of the septal defects and aortic valve repair. This was followed by homograft replacement of the aortic valve for persistent infection, and further closure of a left ventricle to right atrium fistula.

Publication types

  • Case Reports

MeSH terms

  • Abscess / etiology
  • Abscess / surgery*
  • Aortic Valve / surgery*
  • Cardiac Surgical Procedures / methods
  • Child
  • Endocarditis, Bacterial / microbiology
  • Endocarditis, Bacterial / surgery*
  • Fistula / etiology
  • Fistula / surgery*
  • Heart Atria / surgery*
  • Heart Septal Defects, Atrial / etiology
  • Heart Septal Defects, Atrial / surgery*
  • Heart Septal Defects, Ventricular / etiology
  • Heart Septal Defects, Ventricular / surgery*
  • Heart Valve Diseases / etiology
  • Heart Valve Diseases / surgery
  • Heart Ventricles / surgery*
  • Hirschsprung Disease / complications
  • Humans
  • Male
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / surgery*
  • Staphylococcus epidermidis*
  • Tricuspid Valve / surgery*