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Endocarditis in Adults with Congenital Heart Disease

  • Constantine Mavroudis
  • Tomas Martin
  • Joseph A. Dearani
Chapter

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.

Keywords

Endocarditis Adult congenital heart surgery Tricuspid endocarditis Pulmonary valve endocarditis Mitral endocarditis Aortic valve endocarditis Ross operation Cardiac valve repair Cardiac valve replacement 

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

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Constantine Mavroudis
    • 1
  • Tomas Martin
    • 2
  • Joseph A. Dearani
    • 3
  1. 1.Professor of SurgeryJohns Hopkins University School of Medicine, Johns Hopkins All Children’s HospitalSt. PetersburgUSA
  2. 2.Professor of Surgery, Division of Thoracic and Cardiovascular SurgeryUniversity of FloridaGainesvilleUSA
  3. 3.Professor of Surgery, Department of Cardiac SurgeryMayo ClinicRochesterUSA

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