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Korean Journal of Obstetrics & Gynecology 2004;47(9):1784-1788.
Published online September 1, 2004.
A Case Report of Bacterial Endocarditis in Pregnancy.
Seung Hee Cha, Kuol Hur, Yeon Kyung Cho, Seung Youn You, So Ra Ryu, Su Hyun Park, Hyoun Ah Choi, Jeong Bae Park, Mi Kyung Koong, Inn Soo Kang
1Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
2Department of Internal Medicine, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract
The heart disease during gestation complicates approximately 0.5-1.5% of pregnancies. The common cause of heart disease during gestation is acquired rheumatic valvular lesions and congenital heart defects. In contrast, infective endocarditis during pregnancy or the puerperium is quite rare, with fewer than 100 cases reported over the past 50 years. We present a case of bacterial endocarditis complicated by severe tricuspid valvular insufficiency and associated septic pulmonary emboli. Therapy consisted of cesarean section at 32 weeks gestation followed by tricuspid valvular replacement, removal of vegetation and primary closure of congenital ventricular septal defect.
Key Words: Bacterial endocarditis, Tricuspid valvular insufficiency, Ventricular septal defect


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