Misdiagnosis analysis and literature review of left ventricle-right atrium communication complicated with infective endocarditis vegetation
Sun Qiqing
Sun Li'an
Xu Lingmin
Abstract：Objective To investigate the misdiagnosis reason and clinical features of left ventricle-right atrium communication complicated with infective endocarditis vegetation.Methods The clinical features,the process of diagnosis and misdiagnosis of 1 child with left ventricle-right atrium communication complicated with infective endocarditis vegetation on August 9,2013 were retrospectively analyzed.The related related literature was reviewed.Results Fever was the early performance of the child;physical examination found a heart murmur;blood cultures was positive;echocardiography showed left ventricle-right atrium communication,slight hyperechoic mass in right atrium.The temperature reduced after anti-infective treatment,while stomach,face and feet edema occurred;then the surgery was performed.It was confirmed as right atrium purulent endocarditis by postoperative pathology.The child was discharged after standardized anti-infection treatment.After 1 year of follow-up,no recurrence was observed.Conclusion Left ventricle-right atrium communication complicated with infective endocarditis vegetation is rare,timely standard echocardiography and comprehensive clinical analysis are helpful to the diagnosis.
Keywords：Infective endocarditisLeft ventricle-right atrium communicationDiagnosis
Publication Date：2016-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 350-352 )