Durden Randi E, Turek Joseph W, Reinking Benjamin E, Bansal Manish
Department of Pediatrics, Division of Pediatric Cardiology, The University of Iowa Stead Family Children's Hospital, lowa, USA.
Ann Pediatr Cardiol. 2018 Jan-Apr;11(1):100-102. doi: 10.4103/apc.APC_130_17.
Acquired intracardiac left-to-right shunts are rare occurrences. Chest trauma and myocardial infection are well-known causes of acquired ventricular septal defect (VSD). There have been several case reports describing left ventricle to right atrium shunt after infective endocarditis (IE). We present here a patient found to have an acquired VSD secondary to IE of the aortic and tricuspid valves in the setting of a known bicuspid aortic valve. This is the first case reported of acquired VSD in a pediatric patient in the setting of IE along with literature review of acquired left-to-right shunts.
获得性心内左向右分流较为罕见。胸部创伤和心肌感染是获得性室间隔缺损（VSD）的常见病因。已有数例报告描述了感染性心内膜炎（IE）后左心室至右心房分流的情况。我们在此报告一名患者，在已知二叶式主动脉瓣的情况下，因主动脉瓣和三尖瓣的IE继发获得性VSD。这是首例报告的小儿患者在IE情况下发生的获得性VSD，并伴有对获得性左向右分流的文献综述。
