Fungal Infective Endocarditis Post Device Occlusion in Perimembranous Ventricular Septal Defect

Authors

  • Nadeem Sadiq Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Intisar-Ul- Haq Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Saima Rafique Armed Force Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Maad Ullah Heart International Hospital, Rawalpindi Pakistan
  • Khurram Akhtar Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Hajira Akbar Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan,
  • Andaleeb Ara Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Sana Imtiaz Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Muhammad Asad Farhan Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
  • Tufail Ahmed Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72iSUPPL-3.9549

Keywords:

Device occlusion, Infective endocarditis, Trans-catheter, Ventricular septal defect

Abstract

Recent increase in deployment of trans-catheter devices such as septal or ductal occluding coils and devices has been a possible risk factor for infective endocarditis, predominantly in the initial post deployment period before endothelialization has ensued. Though a long-term study of trans-catheter Atrial Septal Defect (ASD) closure revealed no cases of Infective Endocarditis, some case reports of endocarditis in trans-catheter device closure of ASD, VSD and Patent ductus arteriosus(PDA) advocate that residual defect after device occlusion may be a factor in the risk for Infective Endocarditis. We herein describe the case of a 9-month-old female patient who underwent device closure for peri-membranous ventricular septal defect (VSD) and developed fungal infective endocarditis in early post occlusion period which was confirmed on blood culture. Despite treatment with appropriate antifungal as per sensitivity, clinical condition of the patient deteriorated and it was decided to manage her with surgical explanation of device and closure of defect.

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Published

22-11-2022

How to Cite

Sadiq, N., Haq, I.-U.-., Rafique, S., Ullah, M., Akhtar, K., Akbar, H., … Ahmed, T. (2022). Fungal Infective Endocarditis Post Device Occlusion in Perimembranous Ventricular Septal Defect. Pakistan Armed Forces Medical Journal, 72(SUPPL-3), S628–31. https://doi.org/10.51253/pafmj.v72iSUPPL-3.9549

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