Surgical Treatment for Infective Endocarditis in Infant: A Case Report
- #CH/PED 01-O-8
- Congenital Heart Surgery/Pediatric Congenital Cardiac. SESSION-1
- Oral
Surgical Treatment for Infective Endocarditis in Infant: A Case Report
Sompop Prathanee, Chawalit Wongbuddha, Rachata Mala, Chalach Mitrprachapranee
CVT Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Date, time and location: 2018.05.25 13:30, Press Hall, 2F
Abstract
Introduction : Infective
endocarditis is still a problem in Thailand.
Majority of these cases in children were managed by medical
therapy. So, surgical treatment for
infancy child of infective endocarditic is very rare in our unit.
Method
: A
case of infant with infective endocarditis which performed surgical treatment
was reviewed for clinical features, management and outcome.
Result
: Seven
month old female infant, 4.8 kilogram of weight admitted in university hospital
with fever and marusmus condition.
Hemoculture found Staphylococcus organism and immunoglobulin test was
positive for Cytomegalovirus. Echocardiogram
recorded perimembranous VSD with oscillating mass confined from tricuspid valve,
right ventricular chamber through pulmonary valve. Surgical treatment was performed under CPB to
removal of vegetable mass, Tricuspid valve repair and closure VSD with pericardial
patch. The patient stayed 26 days after
operation before went back home.
Conclusion
: In
compromised infant, infective endocarditis can be occurred. Right side heart failure from vegetable mass
should be managed by surgical removal.
Team approach is mandatory for success management.