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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

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