Soonchunhyang Med Sci.
2019 Dec;25(2):148-151. 10.0000/sms.2019.25.2.148.
Pulmonary Thromboembolism and Infarction Caused by Right-Sided Infective Endocarditis in a Patient with Ventricular Septal Defect
- Affiliations
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- 1Department of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. jwlee@schmc.ac.kr
- KMID: 2470420
- DOI: http://doi.org/10.0000/sms.2019.25.2.148
Abstract
- Pulmonary thromboembolism frequently occurs in patients with deep vein thrombosis, but in patients with right-sided endocarditis, it can sometimes occur due to embolization of vegetation. We experienced pulmonary thromboembolism and pulmonary infarction in a patient with tricuspid valve endocarditis with the ventricular septal defect. Echocardiography and cardiac computed tomography revealed ventricular septal defect and tricuspid valve vegetation. Chest computed tomography showed pulmonary thromboembolism and pulmonary infarction in the affected segments. The patient underwent ventricular septal defect patch closure and tricuspid valve replacement and improved after antibiotics and anticoagulant treatment.
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