Endocarditis After Pectus Excavatum Repair A Case Report

Pectus excavatum is a common congenital musculoskeletal disease occurring in approximately 1 in 800 births.1 Indications for surgical repair include pain, exercise intolerance, abnormal pulmonary function, right ventricular (RV) dysfunction, tricuspid valve compression, and cosmetic enhancement.2 We present an unusual case of endocarditis after pectus repair. A 14-year-old girl presented to the emergency room with a 2-week history of intermittent fever, chills, and pain in the lower parasternum 2 months after pectus excavatum repair. The modified Ravitch technique was used, inserting an 18-cm vitallium strut for stabilization. Physical examination revealed a 3/6 holosystolic midfrequency murmur heard throughout the precordium and an early, short diastolic murmur. Initial laboratory studies demonstrated a mild left shift and elevated inflammatory markers. Chest radiograph demonstrated a normal cardiac silhouette with inferior and posterior displacement of the pectus bar at the level of the …