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Pulmonary endarteritis and endocarditis complicated with septic embolism: a case report and review of the literature.

ABSTRACT: BACKGROUND:Pulmonary endarteritis is a rare clinical phenomenon with congenital heart that can potentially lead to major complications. CASE PRESENTATION:We report a 47-year-old man with pulmonary endarteritis. This patient presented with hypertension, chest pain and a previous history of pulmonary valve disease during childhood. Also, eight-months prior, he was hospitalized with dyspnea (Functional Class III), cough, phlegm, and night sweats without fever. Echocardiographic diagnosis in the first transtransthoracic echocardiography (TTE) was intense pulmonary valve stenosis (PVS) an, thus, the pulmonary valve vegetation and PVS, established by transesophageal echocardiography (TEE). He was referred for surgery after 1?weeks of intravenous antibiotic therapy for removal of the vegetation. CONCLUSIONS:Finally he was asymptomatic at 3-months of follow-up and was clinically in good condition. Therefore, the detection of infective endocarditis of the lung valve must not lengthy be prolonged.

SUBMITTER: Khosravi A

PROVIDER: S-EPMC7066814 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Pulmonary endarteritis and endocarditis complicated with septic embolism: a case report and review of the literature.

Khosravi Arezoo A Rostami Zohreh Z Javanbakht Mohammad M Jafari Nematollah Jonaidi NJ Ghahroudi Mohsen Sadeghi MS Kalantar-Motamed Mohammad Hassan MH Jafari Ramezan R Einollahi Behzad B

BMC infectious diseases 20200312 1

<h4>Background</h4>Pulmonary endarteritis is a rare clinical phenomenon with congenital heart that can potentially lead to major complications.<h4>Case presentation</h4>We report a 47-year-old man with pulmonary endarteritis. This patient presented with hypertension, chest pain and a previous history of pulmonary valve disease during childhood. Also, eight-months prior, he was hospitalized with dyspnea (Functional Class III), cough, phlegm, and night sweats without fever. Echocardiographic diagn ...[more]

PMID: 32164584

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Project description:Tumor embolisms (TE) are an underappreciated source of pulmonary embolisms in sarcoma. Most evidence in the literature is limited to case reports and none have described the presence of TE secondary to myxofibrosarcoma. We report the first case of myxofibrosarcoma TE and perform a review of the literature for TE secondary to bone and soft tissue sarcomas (STS).A 36-year-old female presented with debilitating pain of the right upper extremity secondary to a recurrent soft tissue sarcoma. She had distant metastasis to the lung. An MRI revealed a 25-cm shoulder mass involving the proximal arm muscles with encasement of the axillary artery, vein, and brachial plexus. A palliative forequarter amputation was performed and tumor thrombus was evident within the axillary artery and vein. Postoperatively, she developed an acute onset of dyspnea and hypoxia. A computed tomography scan revealed a pulmonary saddle embolism. A bilateral lower extremity venous duplex was negative. She became hemodynamically unstable despite resuscitation and was placed on vasopressor support. A transthoracic echocardiogram revealed elevated pulmonary artery pressure, tricuspid regurgitation, right heart dilation, and reduced right heart systolic function consistent with acute cor pulmonale. The patient did not want to pursue a median sternotomy with pulmonary artery embolectomy and expired from cardiopulmonary arrest within 24 h of the operation. The final pathology revealed a 25?×?16?×?13 cm high-grade myxofibrosarcoma with invasion into the bone, skin, and neurovascular bundle as well as evidence of tumor thrombus.TE is a rare but deadly cause of pulmonary embolism in sarcoma. A high index of suspicion is necessary in individuals who present with respiratory-related symptoms, especially dyspnea. Diagnostic confirmation with a computed tomography scan of the chest and echocardiogram should be rapid. Unlike venous thromboembolism, pulmonary embolectomy remains the preferred therapeutic approach.

Dataset Information

Pulmonary endarteritis and endocarditis complicated with septic embolism: a case report and review of the literature.

Publications

Pulmonary endarteritis and endocarditis complicated with septic embolism: a case report and review of the literature.

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