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CASE REPORT
Year : 2019  |  Volume : 29  |  Issue : 3  |  Page : 123-125

Complications of pulmonic valve endocarditis in repaired tetralogy of fallot


1 Department of Cardiology, Mayo Clinic, Scottsdale, AZ; Department of Internal Medicine, Indiana University, Indianapolis, IN, USA
2 Department of Cardiovascular Medicine, University of California, Davis, California, USA
3 Department of Infectious Disease, Indiana University Health Physicians, Indianapolis, IN, USA
4 Department of Cardiology, Krannert Institute of Cardiology, Indianapolis, IN, USA

Correspondence Address:
Hasan Ashraf
Department of Cardiology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_17_19

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Transthoracic echocardiography plays a pivotal role in the diagnosis of complications, evaluation of hemodynamics, and management of patients with surgically repaired congenital heart disease. Late complications of surgically corrected tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease, include pulmonary regurgitation (PR), ventricular septal defect (VSD) patch leakage, and residual right ventricular outflow tract obstruction. We present a case of severe PR secondary to Bartonella endocarditis in an adult with a history of repaired TOF in which echocardiography was instrumental in the diagnosis of severe PR, residual VSD, and a right-to-left shunt through an unsuspected patent foramen ovale.


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