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Casos clínicos • cisa 10 (2) • 2026 • https://doi.org/10.22206/cisa.2026.v10i2.3455 linkcopy

Open-access Early septic emboli in a sickle cell patient secondary to surgical atrial septal patch endocarditis: a case report

Émbolos sépticos tempranos en un paciente con anemia falciforme secundarias a endocarditis del parche quirúrgico del tabique interauricular: un reporte de caso

AuthorshipSCIMAGO INSTITUTIONS RANKINGS

Background:  Infective endocarditis (IE) of an atrial septal defect (ASD) surgical patch is rare but life-threatening. Early recognition is crucial, particularly in patients with sickle cell anemia due to increased infection risk.

Case Presentation:  An 18-year-old female with sickle cell disease (SCD) and recent ASD repair presented with fever, hemiparesis, and neurological decline.

Findings:  Imaging revealed cerebral emboli and cardiac thrombus. Transesophageal echocardiography (TEE) identified an infected surgical patch.

Conclusions:  Early postoperative IE should be suspected in febrile patients with repaired congenital heart disease (CHD). Prompt imaging and antibiotic therapy are essential to prevent embolic complications.

Keywords:
Case reports; endocarditis infective; heart septal defects atria; stroke embolic; surgical procedures operative

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