Open AccessComplications of pulmonic valve endocarditis in repaired tetralogy of fallot
Author(s) -
Hasan Ashraf,
K. Pandya,
Matthew F. Wack,
Stephen Sawada
Publication year - 2019
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_17_19
Subject(s) - medicine , tetralogy of fallot , patent foramen ovale , cardiology , ventricular outflow tract , endocarditis , shunt (medical) , heart disease , pulmonary valve , infective endocarditis , ductus arteriosus , pulmonary atresia , surgery , migraine
Transthoracic echocardiography plays a pivotal role in the diagnosis of complications, evaluation of hemodynamics, and management of patients with surgically repaired congenital heart disease. Late complications of surgically corrected tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease, include pulmonary regurgitation (PR), ventricular septal defect (VSD) patch leakage, and residual right ventricular outflow tract obstruction. We present a case of severe PR secondary to Bartonella endocarditis in an adult with a history of repaired TOF in which echocardiography was instrumental in the diagnosis of severe PR, residual VSD, and a right-to-left shunt through an unsuspected patent foramen ovale.