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J Pediatr Intensive Care 2019; 08(02): 103-107
DOI: 10.1055/s-0038-1675194
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Percutaneous Removal of a Cardiac Mass in a Patient with Infective Endocarditis: A Case Report

Nii Koney
1   Division of Interventional Radiology, Department of Radiological Sciences, University of California, Los Angeles, California, United States
2   Division of Interventional Radiology, Department of Radiology, Northwest Permanente, Portland, Oregon, United States
,
Chelsea Benmessaoud
3   David Geffen School of Medicine, University of California, Los Angeles, California, United States
,
Kalonji Y. Cole
3   David Geffen School of Medicine, University of California, Los Angeles, California, United States
,
Yonca Bulut
4   Division of Critical Care Medicine, Department of Pediatrics, University of California, Los Angeles, California, United States
,
Eric H. Yang
5   Division of Cardiology, Department of Medicine, University of California, Los Angeles, California, United States
,
John M. Moriarty
1   Division of Interventional Radiology, Department of Radiological Sciences, University of California, Los Angeles, California, United States
5   Division of Cardiology, Department of Medicine, University of California, Los Angeles, California, United States
› Author Affiliations Funding None.
Further Information

Publication History

12 July 2018

10 September 2018

Publication Date:
24 October 2018 (online)

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Abstract

Infective endocarditis (IE) in the pediatric population is uncommon and presents with nonspecific signs. Nonetheless, prompt diagnosis and management are critical given its high mortality rate. We present the case of a 15-year-old boy who initially presented with bilateral multifocal pneumonia and was found to have IE with a right ventricular vegetation. The vegetation was removed percutaneously, obviating a more invasive surgical approach. The patient tolerated the procedure well and rapidly improved following removal of the vegetation. This case report highlights the utility of a novel, minimally invasive approach for the management of cardiac masses.

Keywords

Vegetation - angioVac - infective endocarditis

Financial Disclosure

No financial disclosure relevant to this article to disclose.


 

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