Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease

A 49-year-old woman with sickle cell disease presented with one month of exertional dyspnea, weakness, and fever and was diagnosed with isolated pulmonic valve endocarditis secondary to methicillin-resistant Staphylococcus bacteremia in the setting of a peripherally inserted central venous catheter....

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Main Authors: Timothy Glew, Migdalia Feliciano, Dennis Finkielstein, Susan Hecht, Daryl Hoffman
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/732073
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author Timothy Glew
Migdalia Feliciano
Dennis Finkielstein
Susan Hecht
Daryl Hoffman
author_facet Timothy Glew
Migdalia Feliciano
Dennis Finkielstein
Susan Hecht
Daryl Hoffman
author_sort Timothy Glew
collection DOAJ
description A 49-year-old woman with sickle cell disease presented with one month of exertional dyspnea, weakness, and fever and was diagnosed with isolated pulmonic valve endocarditis secondary to methicillin-resistant Staphylococcus bacteremia in the setting of a peripherally inserted central venous catheter. Chest computerized tomography showed multiple bilateral pulmonary nodular opacities consistent with septic emboli. Transthoracic and transesophageal echocardiograms revealed a large echodensity on the pulmonic valve requiring vegetation excision and pulmonic valve repair. In conclusion, isolated pulmonic valve endocarditis is a rare cause of infective endocarditis that warrants a high index of clinical suspicion. Furthermore the management of patients with sickle cell disease and endocarditis requires special consideration.
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series Case Reports in Cardiology
spelling doaj-art-ba46a96c43f345c4b2697ef392e954252025-08-20T02:19:25ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/732073732073Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell DiseaseTimothy Glew0Migdalia Feliciano1Dennis Finkielstein2Susan Hecht3Daryl Hoffman4Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USADepartment of Medicine, Mount Sinai Beth Israel, New York, NY 10003, USADepartment of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USADepartment of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USADepartment of Cardiothoracic Surgery, Mount Sinai Beth Israel, New York, NY 10003, USAA 49-year-old woman with sickle cell disease presented with one month of exertional dyspnea, weakness, and fever and was diagnosed with isolated pulmonic valve endocarditis secondary to methicillin-resistant Staphylococcus bacteremia in the setting of a peripherally inserted central venous catheter. Chest computerized tomography showed multiple bilateral pulmonary nodular opacities consistent with septic emboli. Transthoracic and transesophageal echocardiograms revealed a large echodensity on the pulmonic valve requiring vegetation excision and pulmonic valve repair. In conclusion, isolated pulmonic valve endocarditis is a rare cause of infective endocarditis that warrants a high index of clinical suspicion. Furthermore the management of patients with sickle cell disease and endocarditis requires special consideration.http://dx.doi.org/10.1155/2015/732073
spellingShingle Timothy Glew
Migdalia Feliciano
Dennis Finkielstein
Susan Hecht
Daryl Hoffman
Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease
Case Reports in Cardiology
title Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease
title_full Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease
title_fullStr Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease
title_full_unstemmed Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease
title_short Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease
title_sort pulmonic valve repair in a patient with isolated pulmonic valve endocarditis and sickle cell disease
url http://dx.doi.org/10.1155/2015/732073
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AT dennisfinkielstein pulmonicvalverepairinapatientwithisolatedpulmonicvalveendocarditisandsicklecelldisease
AT susanhecht pulmonicvalverepairinapatientwithisolatedpulmonicvalveendocarditisandsicklecelldisease
AT darylhoffman pulmonicvalverepairinapatientwithisolatedpulmonicvalveendocarditisandsicklecelldisease