Two Cases of Pulmonary Homograft Replacement for Isolated Pulmonary Valve Endocarditis

Isolated pulmonary endocarditis is rare. Two cases that required surgical treatment are reported: a 35-year-old woman with predisposing factors for right-sided endocarditis who presented with complete heart block; and a healthy 65-year-old man with no predisposing factors who was admitted with septic shock. Both patients presented with septic shock and pulmonary septic emboli requiring urgent surgical treatment. Surgical correction using pulmonary homograft was done, with immediate postoperative recovery. The current literature of isolated pulmonary endocarditis is also reviewed. (Ann Thorac Surg 2009; 87: 1954-6) (C) 2009 by The Society of Thoracic Surgeons