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(Chest. 1971;59:227-230.)
© 1971 American College of Chest Physicians

Tricuspid Valve Subacute Bacterial Endocarditis Complicating Tetralogy of Fallot

Lamberto C. Maramba M.D.1; Frank J. Hildner M.D., F.C.C.P.1; Philip Samet M.D., F.C.C.P.1; and Jack J. Greenberg M.D., F.C.C.P.1

1 Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Department of Surgery, Mount Sinai Hospital, Miami Beach, Florida and the University of Miami School of Medicine, Coral Gables, Florida

This report records for the first time the occurrence of isolated subacute bacterial endocarditis involving the tricuspid valve in a patient whose condition evolved into classic tetralogy of Fallot, and who required prosthetic replacement of the valve in addition to surgical therapy for the congenital lesions. Postoperative complete heart block was corrected with implantation of a P-wave synchronous pacemaker. The excellent clinical improvement observed in our patient, in addition to previous similar reports, further indicate that prosthetic valves can be seated in areas of infection and heal properly.






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Copyright © 1971 by the American College of Chest Physicians.