Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
권호 표지

Acute Pulmonary Embolism Caused by Subacute Infective Endocarditis of the Tricuspid Valve

  • Park, Jae-Hyeong (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Yoo, Su-Jin (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Kang, Shin-Kwang (Department of Cardiovascular Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Lee, Jae-Hwan (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Choi, Si-Wan (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Jeong, Jin-Ok (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Seong, In-Whan (Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine)
  • Published : 2009.03.27

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Abstract

Acute pulmonary embolism is usually caused by deep vein thrombosis of the lower extremities. However, vegetations of the tricuspid valve (TV) can cause embolic occlusion of the pulmonary vasculature and hence pulmonary embolism. We experienced a case of acute pulmonary embolism caused by subacute infective endocarditis of the TV. The computerized tomographic scans showed huge vegetations on the patient's TV and obstruction of the bilateral pulmonary arteries. He was successfully treated with intravenous antibiotics and TV replacement.

Keywords

References

  1. Wood KE. Major pulmonary embolism: review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 2002;121:877-905. https://doi.org/10.1378/chest.121.3.877
  2. Lilienfeld DE, Chan E, Ehland J, Godbold JH, Landrigan PJ, Marsh G. Mortality from pulmonary embolism in the United States: 1962 to 1984. Chest 1990;98:1067-72. https://doi.org/10.1378/chest.98.5.1067
  3. Hoen B, Alla F, Selton-Suty C, Beguinot I, Bouvet A, Briancon S, Casalta JP, Danchin N, Delahaye F, Etienne J, Le Moing V, Leport C, Mainardi JL, Ruimy R, Vandenesch F. Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA 2002;288:75-81. https://doi.org/10.1001/jama.288.1.75
  4. Ha JK, Kim SH, Kim SH, An BJ, Chun KJ, Hong TJ, Shin YW, Chung SW, Kim JW. Infected endocarditis related with pacemaker leads: A case report. J Cardiovascular Ultrasound 2001;9:70-4.
  5. Park MY, Shim WJ, Shin SH, Lim HG, Choi JW, Park HN, Lim DS, Kim YH, Ro YM. Clinical usefulness of Transesophageal echocardiography in detecting infections of implanted intracardiac electrodes: 3 cases of electrodes related infective endocarditis. J Cardiovascular Ultrasound 2004;12:87-90.
  6. Cheng TO. Infective endocarditis, cardiac tamponade, and AIDS as serious complications of acupuncture. Arch Intern Med 2004;164:1464. https://doi.org/10.1001/archinte.164.13.1464-a
  7. Stellon A. Acupuncture in patients with valvular heart disease and prosthetic valves. Acupunct Med 2003;21:87-91. https://doi.org/10.1136/aim.21.3.87
  8. Hecht SR, Berger M. Right-sided endocarditis in intravenous drug users. Prognostic features in 102 episodes. Ann Intern Med 1992;117:560-6. https://doi.org/10.7326/0003-4819-117-7-560
  9. Mathew J, Addai T, Anand A, Morrobel A, Maheshwari P, Freels S. Clinical features, site of involvement, bacteriologic findings, and outcome of infective endocarditis in intravenous drug users. Arch Intern Med 1995;155:1641-8. https://doi.org/10.1001/archinte.155.15.1641
  10. Moss R, Munt B. Injection drug use and right sided endocarditis. Heart 2003;89:577-81. https://doi.org/10.1136/heart.89.5.577