Abstract
We present a case of a fifty-three-year-old male who presented with severe sepsis. He had been treated as a pneumonia patient for five months before the admission. Investigations revealed isolated pulmonary valve endocarditis and septic pulmonary embolism in addition to undiagnosed right ventricular outflow tract (RVOT) obstruction. The patient underwent surgery for the relief of RVOT obstruction by substantial muscle resection of the RVOT, pulmonary artery embolectomy, pulmonary valve replacement, and reconstruction of RVOT and main pulmonary artery with two separate bovine pericardial patches. He was discharged from our hospital after 6 weeks of intravenous antibiotics. He recovered well on follow-up 16 weeks after discharge. A high-suspicion index is needed to diagnose right-side heart endocarditis. Blood cultures and transesophageal echocardiogram are the key diagnostic tools.
Highlights
Infective endocarditis involving the right side of the heart is an uncommon condition, which often involves the tricuspid valve [1]
Pulmonary valve endocarditis was predisposed by undiagnosed right ventricular outflow tract (RVOT) obstruction
It is difficult to diagnose without clinical suspicion
Summary
Infective endocarditis involving the right side of the heart is an uncommon condition, which often involves the tricuspid valve [1]. It is even rarer to see isolated pulmonary valve endocarditis. This has led to the absence of definite guidelines to aid the management. In this particular case, pulmonary valve endocarditis was predisposed by undiagnosed right ventricular outflow tract (RVOT) obstruction. Pulmonary valve endocarditis was predisposed by undiagnosed right ventricular outflow tract (RVOT) obstruction This had led to delayed diagnosis and, treatment
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
