Complications of pulmonic valve endocarditis in repaired tetralogy of fallot

Hasan Ashraf, Kruti Pandya, Matthew Wack, Stephen Sawada

Research output: Contribution to journalArticlepeer-review


Transthoracic echocardiography plays a pivotal role in the diagnosis of complications, evaluation of hemodynamics, and management of patients with surgically repaired congenital heart disease. Late complications of surgically corrected tetralogy of Fallot (TOF), the most common cyanotic congenital heart disease, include pulmonary regurgitation (PR), ventricular septal defect (VSD) patch leakage, and residual right ventricular outflow tract obstruction. We present a case of severe PR secondary to Bartonella endocarditis in an adult with a history of repaired TOF in which echocardiography was instrumental in the diagnosis of severe PR, residual VSD, and a right-to-left shunt through an unsuspected patent foramen ovale.

Original languageEnglish (US)
Pages (from-to)123-125
Number of pages3
JournalJournal of Cardiovascular Echography
Issue number3
StatePublished - Jul 1 2019


  • Bartonella
  • endocarditis
  • pulmonary regurgitation
  • tetralogy of Fallot
  • ventricular septal defect

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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