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
How to Cite
References
Pang, Kun-Jing, et al. Echocardiographic classification and surgical approaches to double-outlet right ventricle for great arteries arising almost exclusively from the right ventricle. Texas Heart Institute Journal. 2017;44.4:245-251.
Lee, Chin Hwee, Teo LL, Hia CP. Double outlet right ventricle with infective endocarditis. Singapore Med J. 2012;53.8:e176-e178.
Samaroo-Campbell, Jevon, et al. Isolated pulmonic valve endocarditis. The American Journal of Case Reports. 2019;20:151.
World Health Organization. ICD-11 Beta Draft (Mortality and Morbidity Statistics): double outlet right ventricle. Accessed March 4, 2017.
Helmut Baumgartner et al. ESC Scientific Document Group, 2020 ESC Guidelines for the management of adult congenital heart disease: The Task Force for the management of adult congenital heart disease of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Adult Congenital Heart Disease (ISACHD). European Heart Journal. 7 February 2021;42(6): 563–645.
Gregor Gierlinger, Eva Sames-Dolzer, Michaela Kreuzer, Roland Mair, Andreas Zierer, Rudolf Mair. Surgical therapy of infective endocarditis following interventional or surgical pulmonary valve replacement. European Journal of Cardio-Thoracic Surgery. 2021;59(6):June:1322–1328. DOI:https://doi.org/10.1093/ejcts/ezab086
Sheokand S, Manoj Kumar R, Jain D, Sikka P. Repeated pregnancies in uncorrected double outlet right ventricle: a rare occurrence. Cardiology in the Young. 2021;1–3. DOI:10.1017/s1047951121000949 DOI:https://doi.org/10.1093/eurheartj/ehaa554
Ranjith MP, Rajesh KF, Rajesh G. Isolated pulmonary valve endocarditis: A case reporty and review of literature.
Hussain ST, Shrestha NK, Witten J, Gordon SM, Houghtaling PL, Tingleff J, et al. Rarity of invasiveness in right-sided infective endocarditis. J Thorac Car- diovasc Surg. 2018;155:54-61.e1.
Shmueli, Hezzy, et al. Right‐sided infective endocarditis 2020: challenges and updates in diagnosis and treatment. Journal of the American Heart Association. 2020;9.15: e017293.
Mhanna, Mohammed, et al. AngioVac for vegetation debulking in right-sided infective endocarditis: a systematic review and meta-analysis. Current Problems in Cardiology. 2022; 101353.
Murphy, David J, et al. Guidelines in review: Comparison of ESC and AHA guidance for the diagnosis and management of infective endocarditis in adults. Journal of Nuclear Cardiology. 2019;26:303-308.