Abstract
Bacterial endocarditis in pregnancy causes maternal and fetal mortality rates of 22.1% and 14.7%, respectively. The mortality rates differ according to the involved valves, and the size of vegetation has a prognostic correlation. This report is of a pregnant woman with an unrepaired ventricular septal defect and pulmonary valve endocarditis with a vegetation size of 3.29 cm. She and her baby were treated successfully. An emergency surgical plan would be appropriate for pregnant women in the third trimester with a large vegetation in the right side of the heart, and dental disease should be treated aggressively with appropriate prophylactic antibiotics.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Electrocardiography
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Endocarditis, Bacterial / diagnosis*
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology
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Endocarditis, Bacterial / pathology
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Female
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Heart Septal Defects, Ventricular / complications*
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Heart Septal Defects, Ventricular / pathology
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Humans
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Myocardium / pathology
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Oral Surgical Procedures
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Pregnancy
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Pregnancy Complications, Cardiovascular*
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Pregnancy Complications, Infectious / diagnosis*
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Pregnancy Complications, Infectious / drug therapy
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Pregnancy Complications, Infectious / microbiology
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Pregnancy Complications, Infectious / pathology
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Pulmonary Valve / microbiology*
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Pulmonary Valve / pathology
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Streptococcal Infections / diagnosis*
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Streptococcal Infections / drug therapy
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Streptococcal Infections / microbiology
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Streptococcal Infections / pathology
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Streptococcus sobrinus / isolation & purification