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Ann Thorac Surg 2009;88:2027-2029. doi:10.1016/j.athoracsur.2009.04.141
© 2009 The Society of Thoracic Surgeons
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Sebastian Pagni
Erle H. Austin, III
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Right arrow Valve disease

Case Reports

Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever

Sebastian Pagni, MD*, Anthony Dempsey, MD, Erle H. Austin, III, MD

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky

Accepted for publication April 15, 2009.

* Address correspondence to Dr Pagni, Division of Thoracic and Cardiovascular Surgery, University of Louisville, 201 Abraham Flexner Way, Suite 1200, Louisville, KY 40202 (Email: spagni{at}ucsamd.com).

Q fever is a rare systemic infection caused by Coxiella Burnetii. The presentation with endocarditis is insidious, with negative blood cultures, and oftentimes it is not obvious in diagnostic imaging studies until hemodynamic changes or valve destruction is reached [1]. We report a case of Q fever endocarditis involving the tricuspid and aortic valves and a congenital ventricular septal defect. Surgical treatment and distinct aspects of this unusual case are herein described.






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