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Volume 42, Number 1, February 2009

Pulmonary valve endocarditis in a pregnant woman with a ventricular septal defect


Tsong-Yih Ou, Robert Fu-Chean Chen, Chun-Sen Hsu, Pai-Feng Kao, Fan-Lang Yu, Sing-On Teng, Wen-Sen Lee


Received: December 30, 2007    Revised: April 26, 2008    Accepted: May 21, 2008   

 

Corresponding author:

Dr. Wen-Sen Lee, Division of Infectious Disease, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, No. 111, Section 3, Hsing-Long Rd, Taipei 116, Taiwan. E-mail: Wen-Sen Lee This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

 



 

Methods:

Bacterial endocarditis in pregnancy causes maternal and fetal mortality rates of 22.1% and 14.7%, respectively. The mortality rates differ according to the involved valves, and the size of vegetation has a prognostic correlation. This report is of a pregnant woman with an unrepaired ventricular septal defect and pulmonary valve endocarditis with a vegetation size of 3.29 cm. She and her baby were treated successfully. An emergency surgical plan would be appropriate for pregnant women in the third trimester with a large vegetation in the right side of the heart, and dental disease should be treated aggressively with appropriate prophylactic antibiotics.



 

Key words:

Endocarditis, bacterial; Heart septal defects, ventricular; Pregnancy; Viridans streptococci

 



 

J Microbiol Immunol Infect. 2009;42:92-95.