Recurrent endocarditis on restrictive perimembranous septal defect causing aortic insufficiency
摘要
Infective endocarditis (IE) in children is a rare entity which presents a high rate of events during follow-up. Congenital heart disease, i particular ventricular septal defect (VSD), is the main predisposing condition to IE at those ages. The long-term risk of IE is of concern and whose follow-up can be complicated by a relapse of IE and reintervention. The endocarditis can affect the aortic valve (AV) and induce destructive lesions such as perforation of the valve making it leaky. We report an uncommon case of recurrent endocarditis on restrictive perimembranous VSD, and onset of severe aortic regurgitation after surgical closure, requiring a reoperation.