Abstract
Tam atriyoventriküler blok (AVB) enfektif endokarditin (EE) iyi tanımlanmış ancak nadir bir komplikasyonudur. Atriyoventriküler blok derecesi enfeksiyonun yayılımını yansıtır. Bu yüzden AVB derecesinin artmış morbidite ve mortalite ile ilişkili olduğu düşünülmektedir. Yeni gelişen AVB’nin EE göstergesi olarak değerlendirilmesi ve tanı koyulduktan sonra EE’nin mümkün olduğunca çabuk tedavi edilmesi önerilmektedir. Burada, erken dönemde 1.derece AVB olup uygun tedavi başlanana dek 3.derece AVB ortaya çıkan aort kapak endokarditli bir hasta sunulacaktır. Başarılı cerrahi girişim ve uygun antibiyotik tedavisi sonrasında AVB hiçbir komplikasyon olmaksızın düzelmiştir.
References
- Bayer AS, Bolger AF, Taubert KA, Wilson W, Steckelberg J, Karchmer AW, et al. Diagnosis and management of infective endocarditis and its complications. Circulation 1998;98:2936–48.
- Carpenter JL. Perivalvular extension of infection in patients with infectious endocarditis. Rev Infect Dis 1991;13:127-38.
- Martínez-Urueña N, Hernández C, Duro IC, Sandín MG, Zatarain E, San Román A. Transient trifascicular block secondary to tricuspid valve endocarditis. Rev Esp Cardiol 2012;65:767-8.
- Meine TJ, Nettles RE, Anderson DJ, Cabell CH, Corey GR, Sexton DJ, et al. Cardiac conduction abnormalities in endocarditis defined by the Duke criteria. Am Heart J 2001;142:280-5.
- Baltimore RS, Gewitz M, Baddour LM, Beerman LB, Jackson MA, Lockhart PB, et al. Infective endocarditis in childhood: 2015 update: A scientific statement from the american heart association. Circulation 2015;132:1487-515.
- Javaid M, Awasthi A, Fink G. Complete heart block associated with mitral annular abscess. Mayo Clin Proc 2005;80:1531-2.
- DiNubile MJ, Calderwood SB, Steinhaus DM, Karchmer AW. Cardiac conduction abnormalities complicating native valve active infective endocarditis. Am J Cardiol 1986;58:1213-7.
- Wang K, Gobel F, Gleason DF, Edwards JE. Complete heart block complicating bacterial endocarditis. Circulation 1972;46:939-47.
- Dinubile MJ. Heart block during bacterial endocarditis: A review of the literature and guidelines for surgical intervention. Am J Med Sci 1984;287:30–2.
- Mehta NJ, Nehra A. A 66-year-old man with fever, hypotension and complete heart block. Chest 2001;120:2053–6.
- Ryu HM, Bae MH, Lee SH, Lee JH, Lee JH, Kwon YS, et al. Presence of conduction abnormalities as a predictor of clinical outcomes in patients with infective endocarditis. Heart Vessels 2011;26:298-305.
- with the European Heart Rhythm Association (EHRA). Eur Heart J 2013;34:2281-329.
Abstract
Complete atrioventricular block (AVB) is one of the well described but uncommon complications of infective endocarditis (IE). The degree of AVB reflects the extension of infection. The degree of AVB is thought to be associated with increased morbidity and mortality. It is recommended to evaluate newly developed AVBs as predictors of IE, to diagnose and treat IE as soon as possible. We report a case with delayed diagnosis of aortic valve endocarditis that revealed first degree AVB in the earlier phase of disease and followed by complete AVB until accurate treatment was started. Successful surgical intervention and antibiotherapy resulted in a downgrading and diminishing of the high-grade conduction block without any complications
References
- Bayer AS, Bolger AF, Taubert KA, Wilson W, Steckelberg J, Karchmer AW, et al. Diagnosis and management of infective endocarditis and its complications. Circulation 1998;98:2936–48.
- Carpenter JL. Perivalvular extension of infection in patients with infectious endocarditis. Rev Infect Dis 1991;13:127-38.
- Martínez-Urueña N, Hernández C, Duro IC, Sandín MG, Zatarain E, San Román A. Transient trifascicular block secondary to tricuspid valve endocarditis. Rev Esp Cardiol 2012;65:767-8.
- Meine TJ, Nettles RE, Anderson DJ, Cabell CH, Corey GR, Sexton DJ, et al. Cardiac conduction abnormalities in endocarditis defined by the Duke criteria. Am Heart J 2001;142:280-5.
- Baltimore RS, Gewitz M, Baddour LM, Beerman LB, Jackson MA, Lockhart PB, et al. Infective endocarditis in childhood: 2015 update: A scientific statement from the american heart association. Circulation 2015;132:1487-515.
- Javaid M, Awasthi A, Fink G. Complete heart block associated with mitral annular abscess. Mayo Clin Proc 2005;80:1531-2.
- DiNubile MJ, Calderwood SB, Steinhaus DM, Karchmer AW. Cardiac conduction abnormalities complicating native valve active infective endocarditis. Am J Cardiol 1986;58:1213-7.
- Wang K, Gobel F, Gleason DF, Edwards JE. Complete heart block complicating bacterial endocarditis. Circulation 1972;46:939-47.
- Dinubile MJ. Heart block during bacterial endocarditis: A review of the literature and guidelines for surgical intervention. Am J Med Sci 1984;287:30–2.
- Mehta NJ, Nehra A. A 66-year-old man with fever, hypotension and complete heart block. Chest 2001;120:2053–6.
- Ryu HM, Bae MH, Lee SH, Lee JH, Lee JH, Kwon YS, et al. Presence of conduction abnormalities as a predictor of clinical outcomes in patients with infective endocarditis. Heart Vessels 2011;26:298-305.
- with the European Heart Rhythm Association (EHRA). Eur Heart J 2013;34:2281-329.
Details
| Other ID | JA32FE39EZ |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 1, 2018 |
| Submission Date | April 1, 2018 |
| Published in Issue | Year 2018 Volume: 12 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
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