Abstract
A 22-year-old woman with a restrictive unoperated perimembranous ventricular septal defect was diagnosed with staphylococcal endocarditis during her 14th week of pregnancy. Echocardiography revealed a long, thin, and mobile vegetation along the right ventricular free wall that increased to 8 cm in length, with systolic protrusion across the pulmonary valve. The vegetation subsequently embolized, resulting in a pulmonary abscess. She responded favorably to intravenous antibiotic therapy maintained for a total of 6 weeks, with resolution of the intracardiac mass and pulmonary abscess. The remaining peripartum and postpartum course was relatively unremarkable. Percutaneous closure of the ventricular septal defect was successfully performed postpartum.
© 2011 Wiley Periodicals, Inc.
MeSH terms
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Anti-Bacterial Agents / administration & dosage
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Cardiac Catheterization
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Endocarditis, Bacterial / diagnostic imaging
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology*
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Female
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Heart Septal Defects, Ventricular / complications*
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Heart Septal Defects, Ventricular / therapy
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Heart Ventricles / microbiology
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Humans
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Infant, Low Birth Weight
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Infant, Newborn
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Live Birth
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Lung Abscess / diagnostic imaging
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Lung Abscess / drug therapy
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Lung Abscess / microbiology*
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Pregnancy
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Pregnancy Complications, Cardiovascular / diagnostic imaging
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Pregnancy Complications, Cardiovascular / drug therapy
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Pregnancy Complications, Cardiovascular / microbiology*
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Pregnancy Complications, Infectious / diagnostic imaging
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Pregnancy Complications, Infectious / drug therapy
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Pregnancy Complications, Infectious / microbiology*
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Staphylococcal Infections / diagnostic imaging
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Staphylococcal Infections / drug therapy
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Staphylococcal Infections / microbiology*
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Staphylococcus aureus / isolation & purification*
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Treatment Outcome
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Ultrasonography
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Young Adult