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Infective endocarditis involving atrial septal occluder
  1. Yu-Hsuan Chien1,
  2. Ming-Tai Lin2,
  3. Jou-Kou Wang2
  1. 1 Department of Pediatrics, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
  2. 2 Department of Pediatrics, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan
  1. Correspondence to Dr Ming-Tai Lin, Department of Pediatrics, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei 10041, Taiwan; mingtailin{at}ntu.edu.tw

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A 4-year-old girl had small ventricular septal defect (VSD) and atrial septal defect (ASD) status post closure with Figulla Flex II septal occluder 1 year ago.

She was admitted because of prolonged fever. Echocardiography demonstrated a sac-like vegetation near the tricuspid valve (TV) and the occluder (figure 1 A,B; online supplementary material, videos S1 & S2) and small subaortic VSD with left ventricular (LV) to right atrium …

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