Complicações da Endocardite Infecciosa em Pacientes com Cardiopatia Congênita / Complications of Infective Endocarditis in Patients with Congenital Heart Disease

Lucas Antônio Garcia de Carvalho, Abner Fernandes da Silva, Ana Carolina Dalsecco Alves, Bianca Diniz Oliveira, Julia Elisa Silva Nunes Pais, Lívia Araújo Soares Prado, Marcella Moreira Madeira, Milla Giancristofaro Dutra, Renato Lourenço de Medeiros, Sarah Cristina Garcia Gomes

Abstract


Objetivo: Discutir, através de uma revisão narrativa, as complicações cardíacas da endocardite infecciosa (EI) entre os portadores de doença cardíaca congênita (DCC). Revisão Bibliográfica: A EI é uma doença associada à grande mortalidade, que pode acometer severamente estruturas cardíacas e se manifestar em diversos sistemas. Dentre os vários fatores de risco da EI, o mais prevalente é a presença de DCC, que é associada, também, ao aumento de mortalidade. O risco de desenvolver EI depende do tipo e complexidade da DCC, além de ser influenciado por intervenções terapêuticas prévias. As complicações da EI em pacientes com DCC possuem grande amplitude e variedade, com destaque para acometimento renal, neurológico e, principalmente, cardíaco. As complicações cardíacas são as mais frequentes e as responsáveis por maior morbimortalidade, quando comparadas às extracardíacas. Considerações Finais: Na EI, é clara a importância da DCC como fator de risco, sendo a valva aórtica bicúspide a forma mais comum. Ademais, o acometimento cardíaco tem maior destaque entre as complicações, sendo a insuficiência cardíaca a mais relevante. Outras complicações comuns incluem derrames pericárdicos, formação de abcessos e síndrome coronariana aguda.


Keywords


Endocardite, Cardiopatias Congênita, Complicações.

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DOI: https://doi.org/10.34119/bjhrv3n4-356

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