Late endocarditis complicating patch repair of post-infarction ventricular septal defect

Lauren R. Boglioli, Thomas A. Traill, Gurkan Taviloglu, Duke E. Cameron

Research output: Contribution to journalArticlepeer-review


Post-infarction ventricular septal defects (PIVSD) complicate about 1%- 2% of all acute transmural myocardial infarcts.1 Surgical closure remains the only definitive treatment, and survival ranges from 80%-90%. No general recommendations exist for postoperative antibiotic prophylaxis in such patients who typically have a Dacron patch placed to repair the defect. In contrast, prophylaxis is recommended for infants following repair of congenital ventricular septal defect (VSD) while the patch is incompletely endothelialized.2 We present a case of late postoperative endocarditis presenting 4 years following repair of a PIVSD with a low porosity Dacron patch. Lack of endothelialization of the patch may have contributed to this infectious complication. Antibiotic prophylaxis for PIVSD patches is discussed.

Original languageEnglish (US)
Pages (from-to)113-114
Number of pages2
JournalCardiovascular Reviews and Reports
Issue number2
StatePublished - Feb 1 1999

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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