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Case reports

Pancarditis in a five-year-old boy affecting tricuspid valve and ventricular septum

^a Department of Pediatric Cardiac Surgery, University Hospital, RWTH Aachen University, Pauwelsstr. 30, 52057 Aachen, Germany
^b Department of Pediatric Cardiology, University Hospital, RWTH Aachen University, Aachen, Germany

Received 18 April 2008; received in revised form 20 June 2008; accepted 9 July 2008.

^_* Corresponding author. Tel.: +49 241 8080524; fax: +49 241 8082478. (Email: hschnoering{at}ukaachen.de).

A five-year-old boy with a structurally normal heart and recent history of adenotomy and gastroenteritis presented with Staphylococcus aureus pancarditis including endocarditis of the tricuspid valve and abscess of the ventricular septum. Surgical treatment consisted of debridement of the valvar vegetations and of the septal abscess. A seven-day continuous mediastinal irrigation with iodine solution was conducted to eliminate local infection sites as well as to prevent from constrictive pericarditis. The patient recovered uneventfully and is in excellent clinical condition with no residues one year after surgery.

Key Words: Endocarditis • Tricuspid valve • Pediatric • Antibiotics • Mediastinal infection