Bacterial endocarditis predominantly involves cardiac valves and is associated with many potential complications. Valvular dysfunction resulting from disruption of the structural integrity of valves are not infrequent. This report illustrates a rare case of endocarditis involving the interatrial septum which subsequently produced destruction of the structure resulting in an acquired atrial septal defect.
Get full access to this article
View all access options for this article.
References
1.
Armstrong WF: Congenital heart disease In: Echocardiography, ed. 5, by Feigenbaum H. Philadelphia : Lea & Febiger, 1994, pp 374-383.
2.
McKinsey DS, Ratts TE, Binso AL: Underlying cardiac lesions in adults with infective endocarditisAm J Med82:681-688, 1987.
3.
Rabinovich S. , Evans J., Smith IM, et al: A long-term view of bacterial endocarditis . Ann Intern Med63:185-198, 1965.
4.
Essop R.: Transesophageal echocardiography in infective endocarditis. The standard for the 1990's?Am Heart J130:402-404, 1995.
Rodbard S.: Blood velocity and endocarditis. Circ7:659-662, 1963.
7.
Schreiter SE , Phillips JH: Thromboembolus traversing a patent foramen ovale: Resolution with anticoagulationJ Am Soc Echocardiogr7:18-28, 1994.
8.
Zerio C., Canterin FA, Pavan D., et al: Spontaneous closure of a patent foramen ovale and disappearance of impending paradoxical embolism after fibrinolytic therapy in the course of massive pulmonary embolismAm J Cardiol76:422-424, 1995.
9.
Daley L., Deitcher SR, Bojar RM, et al: Urokinase resolution of impending paradoxic embolus in transit: Evaluation by multiple transesophageal echocardiographyAm Heart J128:1239-1241, 1994.
10.
Slama R.: Perforations of the interventricular septum in the course of acute bacterial endocarditisPresse Med75:1029-1034, 1967 .
11.
Wilson CP: Mycotic aneurysm involving the intraventricular septum. Am Heart J1:703-708, 1926.
12.
Elian D., Segni ED, Kaplinsky E., et al : Acquired left ventricular-right atrial communication caused by infective endocarditis detected by transesophageal echocardiography: Case report and review of the literatureJ Am Soc Echocardiog8:108-110, 1995.