Are All Ventricular Septal Defects Created Equal?

Daniela Lax, Rajan D. Bhatt, Scott E Klewer, Vincent L. Sorrell

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The authors report the occurrence of infective endocarditis in a 32-year-old man with a ventricular septal defect and a left ventricular-to-right-atrial shunt who adhered to the revised 2007 American Heart Association guidelines for infective endocarditis. The patient had received antibiotic prophylaxis prior to multiple previous dental procedures. At a recent dental evaluation for fillings, he was informed that he no longer needed prophylaxis. Fatigue and fevers developed 1 week later, and he was treated with an oral course of ciprofloxacin. The symptoms recurred, and blood cultures grew Streptococcus viridans. A 7-mm vegetative mass was seen on the septal leaflet of the tricuspid valve during transesophageal echocardiography. This report raises the concern that patients with ventricular septal defects and left ventricular-to-right-atrial shunts are at higher risk for endocarditis and may require antibiotic prophylaxis.

Original languageEnglish (US)
JournalJournal of the American Society of Echocardiography
Volume23
Issue number7
DOIs
StatePublished - Jul 2010

Fingerprint

Ventricular Heart Septal Defects
Endocarditis
Antibiotic Prophylaxis
Tooth
Viridans Streptococci
Tricuspid Valve
Transesophageal Echocardiography
Ciprofloxacin
Fatigue
Fever
Guidelines

Keywords

  • Endocarditis
  • Gerbode defect
  • Left ventricular-to-right atrial shunt
  • Ventricular septal defect

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Are All Ventricular Septal Defects Created Equal? / Lax, Daniela; Bhatt, Rajan D.; Klewer, Scott E; Sorrell, Vincent L.

In: Journal of the American Society of Echocardiography, Vol. 23, No. 7, 07.2010.

Research output: Contribution to journalArticle

Lax, Daniela ; Bhatt, Rajan D. ; Klewer, Scott E ; Sorrell, Vincent L. / Are All Ventricular Septal Defects Created Equal?. In: Journal of the American Society of Echocardiography. 2010 ; Vol. 23, No. 7.
@article{7a8bde57bba64943ae6d71a6715d3cbd,
title = "Are All Ventricular Septal Defects Created Equal?",
abstract = "The authors report the occurrence of infective endocarditis in a 32-year-old man with a ventricular septal defect and a left ventricular-to-right-atrial shunt who adhered to the revised 2007 American Heart Association guidelines for infective endocarditis. The patient had received antibiotic prophylaxis prior to multiple previous dental procedures. At a recent dental evaluation for fillings, he was informed that he no longer needed prophylaxis. Fatigue and fevers developed 1 week later, and he was treated with an oral course of ciprofloxacin. The symptoms recurred, and blood cultures grew Streptococcus viridans. A 7-mm vegetative mass was seen on the septal leaflet of the tricuspid valve during transesophageal echocardiography. This report raises the concern that patients with ventricular septal defects and left ventricular-to-right-atrial shunts are at higher risk for endocarditis and may require antibiotic prophylaxis.",
keywords = "Endocarditis, Gerbode defect, Left ventricular-to-right atrial shunt, Ventricular septal defect",
author = "Daniela Lax and Bhatt, {Rajan D.} and Klewer, {Scott E} and Sorrell, {Vincent L.}",
year = "2010",
month = "7",
doi = "10.1016/j.echo.2009.12.004",
language = "English (US)",
volume = "23",
journal = "Journal of the American Society of Echocardiography",
issn = "0894-7317",
publisher = "Mosby Inc.",
number = "7",

}

TY - JOUR

T1 - Are All Ventricular Septal Defects Created Equal?

AU - Lax, Daniela

AU - Bhatt, Rajan D.

AU - Klewer, Scott E

AU - Sorrell, Vincent L.

PY - 2010/7

Y1 - 2010/7

N2 - The authors report the occurrence of infective endocarditis in a 32-year-old man with a ventricular septal defect and a left ventricular-to-right-atrial shunt who adhered to the revised 2007 American Heart Association guidelines for infective endocarditis. The patient had received antibiotic prophylaxis prior to multiple previous dental procedures. At a recent dental evaluation for fillings, he was informed that he no longer needed prophylaxis. Fatigue and fevers developed 1 week later, and he was treated with an oral course of ciprofloxacin. The symptoms recurred, and blood cultures grew Streptococcus viridans. A 7-mm vegetative mass was seen on the septal leaflet of the tricuspid valve during transesophageal echocardiography. This report raises the concern that patients with ventricular septal defects and left ventricular-to-right-atrial shunts are at higher risk for endocarditis and may require antibiotic prophylaxis.

AB - The authors report the occurrence of infective endocarditis in a 32-year-old man with a ventricular septal defect and a left ventricular-to-right-atrial shunt who adhered to the revised 2007 American Heart Association guidelines for infective endocarditis. The patient had received antibiotic prophylaxis prior to multiple previous dental procedures. At a recent dental evaluation for fillings, he was informed that he no longer needed prophylaxis. Fatigue and fevers developed 1 week later, and he was treated with an oral course of ciprofloxacin. The symptoms recurred, and blood cultures grew Streptococcus viridans. A 7-mm vegetative mass was seen on the septal leaflet of the tricuspid valve during transesophageal echocardiography. This report raises the concern that patients with ventricular septal defects and left ventricular-to-right-atrial shunts are at higher risk for endocarditis and may require antibiotic prophylaxis.

KW - Endocarditis

KW - Gerbode defect

KW - Left ventricular-to-right atrial shunt

KW - Ventricular septal defect

UR - http://www.scopus.com/inward/record.url?scp=77953690175&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77953690175&partnerID=8YFLogxK

U2 - 10.1016/j.echo.2009.12.004

DO - 10.1016/j.echo.2009.12.004

M3 - Article

C2 - 20097530

AN - SCOPUS:77953690175

VL - 23

JO - Journal of the American Society of Echocardiography

JF - Journal of the American Society of Echocardiography

SN - 0894-7317

IS - 7

ER -