Double Outlet Right Ventricle Infective Endocarditis: A Rare Combination and a Therapeutic Challenge
Joumana Elmasrioui *
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Youssef Islah
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Mohammed Eljamili
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Saloua El Karimi
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Mustapha Elhattaoui
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Oualid Benfaddoul
Department of Radiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Mariem Ouali Idrissi
Department of Radiology, Mohammed VI University Hospital, Marrakesh, Morocco.
Najat Cherif Idrissi El Ganouni
Department of Radiology, Mohammed VI University Hospital, Marrakesh, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Infective endocarditis involving the right side of the heart occurs rarely and often involves the tricuspid valve. The isolated pulmonary valve infective endocarditis (IPVIE) is a less common condition that occurs in specific population. The double outlet right ventricle (DORV) is an unusual congenital heart disease. The association of DORV and IPVIE darkens the prognosis. We report two cases of the association of DORV and IPVIE. The transthoracic echocardiography (TTE) is the base to the diagnosis. Right sided infective endocarditis in the lack of a guided strategy remains a therapeutic challenge.
Keywords: Double outlet right ventricle, infective endocarditis, isolated pulmonary valve infective endocarditis, pyopneumothorax, pulmonary embolism, empyema