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Case Reports

Two Cases of Pulmonary Homograft Replacement for Isolated Pulmonary Valve Endocarditis

^a Cardiovascular Centre, Hospital de Clinicas, Montevideo, Uruguay
^b National Institute of Cardiac Surgery, Montevideo, Uruguay

Accepted for publication October 14, 2008.

^_* Address correspondence to Dr Dayan, 26 de Marzo 3459/602, Montevideo, 11300, Uruguay (Email: vdayan{at}adinet.com.uy).

Isolated pulmonary endocarditis is rare. Two cases that required surgical treatment are reported: a 35-year-old woman with predisposing factors for right-sided endocarditis who presented with complete heart block; and a healthy 65-year-old man with no predisposing factors who was admitted with septic shock. Both patients presented with septic shock and pulmonary septic emboli requiring urgent surgical treatment. Surgical correction using pulmonary homograft was done, with immediate postoperative recovery. The current literature of isolated pulmonary endocarditis is also reviewed.