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November 1977, Vol 131, No. 11 >
Article | November 1977

Recurrence of Shunt-Induced by Bacterial Endocarditis Following Correction of Tetralogy of Fallot FREE

THAMNIUM VASEENON, MD; MYUNG K. PARK, MD; ANTONI M. DIEHL, MD
Am J Dis Child. 1977;131(11):1295-1296. doi:10.1001/archpedi.1977.02120240113024.
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We report a case of recurrence of the ventricular shunt as a result of bacterial endocarditis more than seven years after the surgical correction of tetralogy of Fallot (TOF) that was treated successfully with an intravenous antimicrobial alone.

Report of a Case.—This 13-year-old boy had corrective surgery for TOF at the age of 6. The ventricular septal defect (VSD) was closed with a Teflon patch and the right ventricular outflow tract was resected. A widely split second heart sound and a grade 2/6 pulmonary ejection murmur were present. A regurgitant murmur of a VSD was not described on five clinic visits postoperatively. Complete right bundle branch block was present on the ECG and roentgenograms demonstrated a normal heart size and vascularity.

The patient was admitted to a local hospital with history of fever and shaking chills of ten days' duration. Five consecutive blood cultures were positive for Staphylococcus aureus

REFERENCES

1 +
Linde LM, Heins, HL:  Bacterial endocarditis following surgery for congenital heart disease . N Engl J Med 263:65-69, 1960;.
Link to Article
2 +
Fraser RS, Rossall RE, Dvorkin J:  Bacterial endocarditis occurring after open-heart surgery . Can Med Assoc J 96:1551-1558, 1967;.
3 +
Gersony WM, White NR:  "Patch embolization" following repair of ventricular septal defect . Am J Cardiol 26:315-318, 1970;.
Link to Article
4 +
Amoury RA, Bowman FO, Malm JR:  Endocarditis associated with intracardiac prostheses . J Thorac Card Surg 51:36-47, 1966;.
5 +
Lord JW, Imparato AM, Hackel A, et al:  Endocarditis complicating open-heart surgery . Circulation 23:489-497, 1961;.
Link to Article
6 +
Taranta A, Ayoub EM, Gordis L, et al:  Committee report; prevention of bacterial endocarditis . Circulation 46:3-6, 1972;.

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References

1 +
Linde LM, Heins, HL:  Bacterial endocarditis following surgery for congenital heart disease . N Engl J Med 263:65-69, 1960;.
Link to Article
2 +
Fraser RS, Rossall RE, Dvorkin J:  Bacterial endocarditis occurring after open-heart surgery . Can Med Assoc J 96:1551-1558, 1967;.
3 +
Gersony WM, White NR:  "Patch embolization" following repair of ventricular septal defect . Am J Cardiol 26:315-318, 1970;.
Link to Article
4 +
Amoury RA, Bowman FO, Malm JR:  Endocarditis associated with intracardiac prostheses . J Thorac Card Surg 51:36-47, 1966;.
5 +
Lord JW, Imparato AM, Hackel A, et al:  Endocarditis complicating open-heart surgery . Circulation 23:489-497, 1961;.
Link to Article
6 +
Taranta A, Ayoub EM, Gordis L, et al:  Committee report; prevention of bacterial endocarditis . Circulation 46:3-6, 1972;.

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