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  • Title: [Acquired ventricular septal defect during infective endocarditis].
    Author: Tarasoutchi F, Grinberg M, Barreto Filho JA, Vasconcelos JT, Cardoso LF, Lunardi W, Mansur A, Pomerantzeff P, da Luz PL, Bellotti G.
    Journal: Arq Bras Cardiol; 1994 Sep; 63(3):203-5. PubMed ID: 7778992.
    Abstract:
    We studied five patients with acquired ventricular septal defect during the course of an infective endocarditis. All patients were male and had a previous aortic valve disease associated with an aortic ring abscess. Clinical examination was useful for the diagnosis of 4 cases, emphasizing the following findings: systolic murmur and/or left paraesternal thrill and right-heart failure. Incidence of congestive heart failure was 60%, while 40% of all patients died during the in-hospital course. No specific etiologic agent was detected. Therefore, acquired ventricular septal defect should be suspected in patients with infective endocarditis of the aortic valve that evolve with a systolic murmur and/or paraesternal thrill and right-heart failure. Immediate surgical treatment is mandatory in these cases.
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