November 1977

Recurrence of Shunt-Induced by Bacterial Endocarditis Following Correction of Tetralogy of Fallot

Author Affiliations

Department of Pediatrics University of Kansas Medical Center 39th & Rainbow Kansas City, Kan 66103

Am J Dis Child. 1977;131(11):1295-1296. doi:10.1001/archpedi.1977.02120240113024

We report a case of recurrence of the ventricular shunt as a result of bacterial endocarditis more than seven years after the surgical correction of tetralogy of Fallot (TOF) that was treated successfully with an intravenous antimicrobial alone.

Report of a Case.—This 13-year-old boy had corrective surgery for TOF at the age of 6. The ventricular septal defect (VSD) was closed with a Teflon patch and the right ventricular outflow tract was resected. A widely split second heart sound and a grade 2/6 pulmonary ejection murmur were present. A regurgitant murmur of a VSD was not described on five clinic visits postoperatively. Complete right bundle branch block was present on the ECG and roentgenograms demonstrated a normal heart size and vascularity.

The patient was admitted to a local hospital with history of fever and shaking chills of ten days' duration. Five consecutive blood cultures were positive for Staphylococcus aureus

First Page Preview View Large
First page PDF preview
First page PDF preview