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Correspondence
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Volume 356:2224-2225 May 24, 2007 Number 21
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Pulmonary-Valve Endocarditis

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To the Editor: Isolated pulmonary-valve endocarditis is quite rare, but it shares demographic, clinical, and microbiologic features with the more-common tricuspid endocarditis.1 We describe a 35-year-old intravenous drug abuser who presented with Staphylococcus aureus septicemia and fulminant circulatory failure, complicated by multiple lung abscesses and associated bronchopleural fistula. High-dose vasopressor and inotropic support and positive-pressure ventilation were required, in addition to intravenous antibiotics.

Echocardiography showed a large mobile mass in the right ventricular outflow tract, arising from the pulmonary valve and extending into the right pulmonary artery, causing severe pulmonary regurgitation. The right ventricle was dilated and hypokinetic. The tricuspid . . . [Full Text of this Article]



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