Abstract
Pulmonary arterial endarteritis is a rare event even in patients with congenital heart disease. In this paper, the authors report two cases of pulmonary endarteritis diagnosed at autopsy. The first was a 3-month-old male infant with absence of congenital heart defect (who had had neonatal sepsis). This patient presented with pneumonia and succumbed within 36 hours of hospital stay despite appropriate antimicrobial therapy and supportive management. The second patient was a 13-month-old male child with previously undiagnosed tetralogy of Fallot who had clinical presentation of acute meningitis with convulsions and succumbed within 12 hours of hospital stay despite adequate treatment. The main autopsy findings were chronic arteritis of the pulmonary trunk and right pulmonary artery in the former and rupture of the pulmonary trunk in the latter.
References
van der Westhuizen NG, Rose AG. Right-sided valvular infective endocarditis. A clinicopathological study of 29 patients.S Afr Med J 1987;71:25–27.
Bilge M, Uner A, Ozeren A, Aydin M, Demirel F, Ermis B, Ozkokeli M. Pulmonary endarteritis and subsequent embolization to the lung as a complication of a patent ductus arteriosus-a case report.Angiology 2004;55:99–102.
Picarelli D, Lenone R, Duhagon P, Peluffo C, Zuniga C, Gelos S, Canessa R, Nozar JV. Active infective endocarditis in infancy and childhood: ten-year review of surgical therapy.J Card Surg 1997;12:406–411.
Sharma S, Desai AG, Pillai MG, Kinare SG, Pandey SR. Clinical and diagnostic features of pulmonary valve endocarditis in the setting of congenital cardiac malformations.Int J Cardiol 1986; 9:457–464.
Vargas-Barron J, Attie F, Buendia-Hernandez A, Keirns C, Esquivel-Avila J. Echocardiographic recognition of pulmonary endarteritis in patent ductus arteriosus.Am Heart J 1985;109: 368–370.
Chia BL, Ee BK, Choo MH, Tan NC. Two-dimensional echocardiographic features of pulmonary artery vegetation.Am Heart J 1987;113:833–834.
Parsons JM, Martin RP, Smith RR. Infective endarteritis affecting the left pulmonary artery after anatomical correction of complete transposition of the great arteries.Br Heart Journal 1988;60:78–80.
Farsak B, Yilmaz M, Oc M, Ozkullu S, Demircin M. Nonvalvular isolated pulmonary artery vegetations.Med Sci Monit 2002;8:CS 39–41.
Fukaya Y, Iida F, Yanagiya N, Nobara H, Nisimura K, Nakano H, Morimoto M. Isolated pulmonary valve endocarditis without cardiac anomaly in an infant.Cardiovasc Surg 1993;1: 605–606.
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Vaideeswar, P., Tullu, M.S., Lahiri, K.R. et al. Pulmonary endarteritis. Indian J Pediatr 73, 1130–1132 (2006). https://doi.org/10.1007/BF02763065
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DOI: https://doi.org/10.1007/BF02763065