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Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever  Sebastian Pagni, MD, Anthony Dempsey,

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Presentation on theme: "Tricuspid and Aortic Valve and Ventricular Septal Defect Endocarditis: An Unusual Presentation of Acute Q Fever  Sebastian Pagni, MD, Anthony Dempsey,"— Presentation transcript:

1 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, MD  The Annals of Thoracic Surgery  Volume 88, Issue 6, Pages (December 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A 4-chamber transesophageal echocardiographic view shows the involvement of the tricuspid valve and subvalvar apparatus. A large vegetation sits on the atrial side of anterior tricuspid leaflet (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Right atrial exposure with a view of the large ventricular septal defect (arrow), anterior leaflet vegetation, and endocardial vegetations after removal of the septal and part of the anterior leaflet of the tricuspid valve (*). (B) Tricuspid valve specimen shows multiple vegetations involving the leaflets, cordi, and septal papillary muscle. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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