Sarkar Achyut, Ahmed Imran, Chandra Naveen, Pande Arindam
Pediatric Cardiology Unit, Department of Cardiology, IPGMER, SSKM Hospital, Kolkata, India.
J Cardiovasc Dis Res. 2012 Jul;3(3):236-9. doi: 10.4103/0975-3583.98901.
Endocarditis of the right side of the heart is otherwise uncommon in children. Pulmonary endarteritis as a complication of congenital heart disease is even rarer. Herein, we report the case of pulmonary endarteritis with a 7 mm ×5 mm vegetation, involving the main pulmonary artery in a 4-year-old male child, with cyanosis and a 1-week history of fever and rapidly-progressive hemiparesis. A full segmental echocardiography demonstrated a double inlet left ventricle with left-sided subaortic hypoplastic right ventricle (Van Praagh's A-III type - Single Ventricle). Additionally, CT scan of the brain revealed bilateral cerebral abscesses. To the best of our knowledge, the occurrence of pulmonary endarteritis and cerebral abscesses in a case of single ventricle is hitherto unreported. This article underlines the importance of heightened clinical awareness and meticulous echocardiography in cases of congenital heart disease so that relatively rare complications may not be missed.
右侧心内膜炎在儿童中并不常见。作为先天性心脏病并发症的肺动脉内膜炎则更为罕见。在此，我们报告一例4岁男童发生肺动脉内膜炎，伴有一个7毫米×5毫米的赘生物，累及主肺动脉，患儿有发绀症状，并有1周的发热病史及快速进展的偏瘫。完整的分段超声心动图显示为双入口左心室合并左侧主动脉下发育不良的右心室（范普拉格A-III型——单心室）。此外，脑部CT扫描显示双侧脑脓肿。据我们所知，单心室病例中出现肺动脉内膜炎和脑脓肿的情况迄今未见报道。本文强调了在先天性心脏病病例中提高临床意识和进行细致超声心动图检查的重要性，以便不遗漏相对罕见的并发症。
