Multivalvular Infective Endocarditis in An Adult With Tetralogy of Fallot

İrfan Barutçu, Muhsin Türkmen, Ali Metin Esen, Osman Karakaya, Mustafa Sağlam

Department of Cardiology, Koşuyolu Heart and Research Hospital, İstanbul

Right-sided infective endocarditis is rarely described in the absence of intravenous drug addiction, use of intracardiac catheters, or concomitant cardiac abnormalities. Herein, we report a case of infective endocarditis involving more than one valve in a 47-year-old man with tetralogy of Fallot. Echocardiographic examination showed a vegetation involving the tricuspid valve and two vegetations involving the bifurcation of the pulmonary artery. Despite antibiotic therapy for six weeks, the vegetations did not significantly change in size. The patient refused surgical intervention.

Keywords : Endocarditis, bacterial/ultrasonography; heart valve diseases/microbiology; pulmonary valve; tetralogy of Fallot tricuspid valve; staphylococcal infections/ultrasonography

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