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  • Title: [Tricuspid endocarditis with right-left auricular shunt through a patent foramen ovale].
    Author: Morelon P, Eicher JC, Chavanet P, Diebold H, Coudert B, Portier H, David M, Louis P.
    Journal: Ann Cardiol Angeiol (Paris); 1987 Jan; 36(1):23-6. PubMed ID: 3548566.
    Abstract:
    The authors report the case of a tricuspid endocarditis secondary to Streptococcus bovis with important regurgitation and severe hypoxemia secondary to a right-left atrial shunt through a patent foramen ovale, requiring a surgical treatment which included the replacement of the tricuspid valve and closure of the dehiscence in the inter-atrial septum. The presence of a patent foramen ovale in the course of a tricuspid endocarditis has been exceptionally reported. This diagnosis deserves to be evoked in case of an unexplained hypoxic condition or a systemic embolism complicating a tricuspid endocarditis. The report emphasizes the advantage of ultrasonic examinations (contrast sonocardiography, pulsated Doppler) in order to demonstrate this right-left atrial shunt in addition to the data collected about the tricuspid valve.
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