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Subtle infective endocarditis and congenital cardiac disease

Published online by Cambridge University Press:  18 November 2005

Andrew C. Chatzis ,
George Saroglou ,
Nicolas M. Giannopoulos  and
George E. Sarris
Andrew C. Chatzis
Affiliation:
Department of Paediatric and Congenital Cardiac Surgery, Onassis Cardiac Surgery Centre, University of Athens, Athens, Greece
George Saroglou
Affiliation:
Department of Internal Medicine, Nursing School, University of Athens, Athens, Greece
Nicolas M. Giannopoulos
Affiliation:
Department of Paediatric and Congenital Cardiac Surgery, Onassis Cardiac Surgery Centre, University of Athens, Athens, Greece
George E. Sarris
Affiliation:
Department of Paediatric and Congenital Cardiac Surgery, Onassis Cardiac Surgery Centre, University of Athens, Athens, Greece
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Abstract

Congenital cardiac disease is recognized as a major predisposing substrate for infective endocarditis. We present three cases of unanticipated intraoperative discovery of vegetations in patients with congenital cardiac malformations without preoperative clinical, laboratory or echocardiographic evidence of infective endocarditis, and their successful treatment. The relevant literature is reviewed, with emphasis of the need to maintain a high index of suspicion for the presence of endocarditis during repair of congenital cardiac lesions.

Keywords

Childrenpaediatric cardiologyinfections
Type
Original Article
Information
Cardiology in the Young , Volume 15 , Issue 6 , December 2005 , pp. 617 - 620
Copyright
© 2005 Cambridge University Press

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References

Dajani AS, Taubert KA, Wilson W, et al. Prevention of bacterial endocarditis: recommendations by the American Heart Association. Circulation 1997; 96: 358–366.Google Scholar
Martin JM, Neches WH, Wald ER. Infective endocarditis: 35 years of experience at a children's hospital. Clin Infect Dis 1997; 24: 669–675.Google Scholar
Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service. Am J Med 1994; 96: 220–229.Google Scholar
Ferrieri P, Gewitz MH, Gerber MA, et al. Unique features of infective endocarditis in childhood. Circulation 2002; 105: 2115–2127.Google Scholar
Karl T, Wensley D, Stark J, de Leval M, Rees P, Taylor JFN. Infective endocarditis in children with congenital heart disease: comparison of selected features in patients with surgical correction or palliation and those without. Br Heart J 1987; 58: 57–65.Google Scholar
Coward K, Tucker N, Darville T. Infective endocarditis in Arkansan children from 1990 through 2002. Pediatr Infect Dis J 2003; 22: 1048–1052.Google Scholar
Saiman L, Prince A, Gersony WM. Pediatric infective endocarditis in the modern era. J Pediatr 1993; 122: 847–853.Google Scholar
Picarelli D, Leone R, Duhagon P, et al. Active infective endocarditis in infants and childhood: ten-year review of surgical therapy. J Card Surg 1997; 12: 406–411.Google Scholar
Gersony WM, Hayes CJ, Driscoll DJ, et al. Bacterial endocarditis in patients with aortic stenosis, pulmonary stenosis, or ventricular septal defect. Circulation 1993; 87 (Suppl 2): I121–I126.Google Scholar
Kaemmerer H, Fratz S, Bauer U, et al. Emergency hospital admissions and three-year survival of adults with and without cardiovascular surgery for congenital cardiac disease. J Thorac Cardiovasc Surg 2003; 126: 1048–1052.Google Scholar
Li W, Somerville J. Infective endocarditis in the grown-up congenital heart (GUCH) population. Eur Heart J 1998; 19: 166–173.Google Scholar
Rodbard S. Blood velocity and endocarditis. Circulation 1963; 27: 18–28.Google Scholar
Kearney RA, Eisen HJ, Wolf JE. Nonvalvular infections of the cardiovascular system. Ann Intern Med 1994; 121: 219–230.Google Scholar
Gomez-Nunez N, Vargas-Barron J, Espinola-Zavaleta N, et al. Echocardiographic study of patients with congenital heart disease and infective endocarditis. Echocardiography 2001; 18: 485–490.Google Scholar
Sable CA, Rome JJ, Martin GR, Patel KM, Karr SS. Indications for echocardiography in the diagnosis of infective endocarditis in children. Am J Cardiol 1995; 75: 801–804.Google Scholar
Doty JR, Salazar JD, Liddicoat JR, Flores JH, Doty DB. Aortic valve replacement with cryopreserved aortic allograft: ten-year experience. J Thorac Cardiovasc Surg 1998; 115: 371–379.Google Scholar
Liosa JC, Gosalbez F, Cofino JL, Naya JL, Valle JM. Pulmonary valve endocarditis: mid-term follow up of pulmonary valvectomies. J Heart Valve Dis 2000; 9: 359–363.Google Scholar
Citak M, Rees A, Mavroudis C. Surgical management of infective endocarditis in children. Ann Thorac Surg 1992; 54: 755–760.Google Scholar
Langer F, Aicher D, Kissinger A, et al. Aortic valve repair using a differentiated surgical strategy. Circulation 2004; 110 (11 Suppl 1): II67–II73.Google Scholar
Wilhelm MJ, Tavakoli R, Schneeberger K, et al. Surgical treatment of infective mitral valve endocarditis. J Heart Valve Dis 2004; 13: 754–759.Google Scholar
Lamas CC, Eykyn SJ. A silent danger: analysis of 50 cases of infective endocarditis. Clin Infect Dis 2000; 30: 336–341.Google Scholar
Morris CD, Reller MD, Menashe VD. Thirty-year incidence of infective endocarditis after surgery for congenital heart defect. JAMA 1998; 279: 599–603.Google Scholar