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Massive septic pulmonary embolism from infective endocarditis obstructing the right pulmonary artery: a case report

    Ryaan EL-Andari

    Department of Surgery, Division of Cardiac Surgery, University of Alberta, Edmonton, Alberta, T6G 2B7, Canada

    ,
    Surita Sidhu

    Department of Anesthesiology & Pain Medicine, University of Alberta, Edmonton, Alberta, T6G 2B7, Canada

    &
    Wei Wang

    *Author for correspondence: Tel.: +1 780 407 2333;

    E-mail Address: wwang3@ualberta.ca

    Department of Surgery, Division of Cardiac Surgery, University of Alberta, Edmonton, Alberta, T6G 2B7, Canada

    Published Online:https://doi.org/10.2217/fca-2023-0101

    Infective endocarditis (IE) is a relatively rare but life-threatening condition with potential complications such as valve dysfunction, abscess formation, development of penetrating lesions and embolization of septic material. In this case report, we describe the case of a 56-year-old with IE involving the tricuspid valve and resulting in near total occlusion of the right pulmonary artery due to embolization of a massive piece of septic material. While embolization of septic material is well documented, associated occlusion of the right pulmonary artery is rare.

    Plain language summary

    Infective endocarditis (IE) is a rare but life-threatening condition with potential complications such as heart valve dysfunction, formation of collections of infected material, development of defects in the heart, and the travel of infected material causing blockages. In this case report, we describe the case of a 56-year-old with IE involving one of the heart valves and resulting in near total blockage of one of the main blood vessels to the lungs due to the dislodgement of a large piece of infected material. While dislodgement and travel of infected material is well documented, associated blockages of the main arteries is rare.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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