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2.
Arq. bras. cardiol ; 63(3): 203-205, set. 1994.
Artículo en Portugués | LILACS | ID: lil-155551

RESUMEN

We studied five patients with acquired ventricular septal defect during the course of an infective endocarditis. All patients were male and had a previous aortic valve disease associated with an aortic ring abscess. Clinical examination was useful for the diagnosis of 4 cases, emphasizing the following findings: systolic murmur and/or left paraesternal thrill and right-heart failure. Incidence of congestive heart failure was 60//, while 40//of all patients died during the in-hospital course. No specific etiologic agent was detected. Therefore, acquired ventricular septal defect should be suspected in patients with infective endocarditis of the aortic valve that evolve with a systolic murmur and/or paraesternal thrill and right-heart failure. Immediate surgical treatment is mandatory in these cases


Asunto(s)
Humanos , Masculino , Adolescente , Adulto , Persona de Mediana Edad , Endocarditis Bacteriana/complicaciones , Tabiques Cardíacos , Ecocardiografía , Endocarditis Bacteriana/diagnóstico , Cardiomiopatías/diagnóstico , Cardiomiopatías/microbiología , Insuficiencia de la Válvula Aórtica/diagnóstico , Insuficiencia de la Válvula Aórtica/etiología , Insuficiencia de la Válvula Tricúspide/diagnóstico , Insuficiencia de la Válvula Tricúspide/etiología , Soplos Cardíacos/diagnóstico , Soplos Cardíacos/etiología
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