Tarmiz Amine, Mgarrech Imene, Slim Mehdi, Hlima Najeh Ben, Kortas Chokri, Jerbi Sofiane
Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sahloul, Sousse, Tunisie.
Service de Cardiologie, CHU Sahloul, Sousse, Tunisie.
Pan Afr Med J. 2016 Dec 6;25:209. doi: 10.11604/pamj.2016.25.209.10550. eCollection 2016.
Right heart endocarditis mainly affects tricuspid valve, especially in drug users. Isolated pulmonary valve infection is rare. We here report the case of a 32-year old young woman whose diagnosis of community-acquired pulmonary valve endocarditis was confirmed. This study is even more interesting because pulmonary valve endocarditis has occurred in a patient without a history of drug addiction; nevertheless, it wasn't associated with restrictive interventricular communication. The patient underwent emergency surgery due to the visualization of large and mobile vegetation on transthoracic heart ultrasound. Surgery was carried out under extracorporeal circulation and pulmonary valve has been replaced with a bioprosthesis. Bloodcultures and valve culture showed methicillin-sensitive staphylococcus aureus. Postoperative evolution was favorable, with a follow-up of 06 months without recurring infections.
右心内膜炎主要累及三尖瓣，在吸毒者中尤为常见。孤立的肺动脉瓣感染较为罕见。我们在此报告一例32岁年轻女性，其社区获得性肺动脉瓣心内膜炎的诊断得到证实。这项研究更具意义，因为该患者无药物成瘾史却发生了肺动脉瓣心内膜炎；然而，它与限制性心室间交通无关。经胸心脏超声显示有大的活动赘生物，患者接受了急诊手术。手术在体外循环下进行，肺动脉瓣被生物假体置换。血培养和瓣膜培养显示为甲氧西林敏感金黄色葡萄球菌。术后病情进展良好，随访6个月无感染复发。
