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Narayanswami Sreeram
John G. Wright
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Edmund J. Ladusans
Babulal Sethia
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Ann Thorac Surg 1995;59:753-755
© 1995 The Society of Thoracic Surgeons

Case Reports

Endocarditis With Multiple Intracardiac Shunts: Identification and Repair

Masood Sadiq, MRCP, Narayanswami Sreeram, MRCP, Joseph V. de Giovanni, FRCP, John G. Wright, MRCP, William J. Brawn, FRCS, Edmund J. Ladusans, MRCP, Babulal Sethia, FRCS

Heart Unit, Birmingham Children's Hospital, Birmingham, United Kingdom

Accepted for publication July 9, 1994.

An 8-year-old boy who suffered from Hirschsprung's disease had development of tricuspid valve endocarditis that progressed to aortic root abscess formation, development of a fistulous communication between aorta and right atrium, atrial and ventricular septal defects, and a left ventricle to right atrium defect. Several surgical procedures were required. Operation consisted initially of closure of the septal defects and aortic valve repair. This was followed by homograft replacement of the aortic valve for persistent infection, and further closure of a left ventricle to right atrium fistula.




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