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Atlas of Adult Congenital Heart Surgery pp 321–336Cite as

Endocarditis in Adults with Congenital Heart Disease

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Abstract

Endocarditis in adults with congenital heart disease can be traced to intermittent bacteremia owing to dental caries, drug addiction, and chronic infection. Turbulent flow associated with residual congenital lesions such as small ventricular septal defects (VSDs), patent arterial ducts (PAD), and coarctation of the aorta (CoA) cause endovascular damage that can attract and harbor cilia-forming bacteria. In addition, implanted devices such as valve prostheses, vascular grafts, and transcatheter devices can form niduses for bacterial growth and proliferation.

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Abbreviations

Ao:

Aorta

AV:

Atrioventricular

CoA:

Coarctation

DHCA:

Deep hypothermic circulatory arrest

ICV:

Inferior caval vein also known as inferior vena cava (IVC)

LCA:

Left coronary artery

LPA:

Left pulmonary artery

MPA:

Main pulmonary artery

MV:

Mitral valve

PA:

Pulmonary artery

PAD:

Patent arterial duct also known as patent ductus arteriosus (PDA)

PFO:

Patent foramen ovale

RA:

Right atrium

RCA:

Right coronary artery

RV:

Right ventricle

SCV:

Superior caval vein also known as superior vena cava (SVC)

TEE:

Transesophageal echocardiography

VSD:

Ventricular septal defect

Author information

Authors and Affiliations

  1. Professor of Surgery, Johns Hopkins University School of Medicine, Johns Hopkins All Children’s Hospital, St. Petersburg, FL, USA

    Constantine Mavroudis MD

  2. Professor of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL, USA

    Tomas Martin MD

  3. Professor of Surgery, Department of Cardiac Surgery, Mayo Clinic, Rochester, MN, USA

    Joseph A. Dearani MD

Authors
  1. Constantine Mavroudis MD
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  2. Tomas Martin MD
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  3. Joseph A. Dearani MD
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Editor information

Editors and Affiliations

  1. Professor of Surgery, Johns Hopkins University School of Medicine Johns Hopkins All Children’s Hospital, St. Petersburg, FL, USA

    Constantine Mavroudis

  2. Professor of Surgery, Department of Cardiac Surgery, Mayo Clinic, Rochester, MN, USA

    Joseph A. Dearani

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Cite this chapter

Mavroudis, C., Martin, T., Dearani, J.A. (2020). Endocarditis in Adults with Congenital Heart Disease. In: Mavroudis, C., Dearani, J. (eds) Atlas of Adult Congenital Heart Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14163-9_16

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  • DOI: https://doi.org/10.1007/978-3-030-14163-9_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14162-2

  • Online ISBN: 978-3-030-14163-9

  • eBook Packages: MedicineMedicine (R0)

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