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Ismael N. Nuño
Daniel S. Schwartz
Kenneth A. Ashton
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Ann Thorac Surg 2000;70:2158-2159
© 2000 The Society of Thoracic Surgeons

Case report

Isolated right ventricular outflow tract mass presenting as hemoptysis

Kanti M. Uppal, MDa, Ismael N. Nuño, MDa, Daniel S. Schwartz, MDa, Kenneth A. Ashton, MDa, Vaughn A. Starnes, MDa

a Department of Cardiothoracic Surgery, University of Southern California School of Medicine, Los Angeles, California, USA

Accepted for publication March 16, 2000.

Address reprint requests to Dr Schwartz, Department of Cardiothoracic Surgery, USC School of Medicine, 1510 San Pablo St, Suite 415, Los Angeles, CA 90033
e-mail: dschwartz{at}surgery.usc.edu

Infective endocarditis presenting as an isolated right ventricular outflow tract mass is rare. We report a 34-year-old man with no history of congenital heart defect or intravenous drug abuse who presented with hemoptysis and fevers. Diagnostic workup revealed isolated right ventricular outflow tract vegetation. Despite aggressive antibiotic treatment for endocarditis, he developed septic emboli and acute respiratory distress. He was taken to the operating room for successful resection of the ventricular mass.




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