| Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis. | |
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MedLine Citation:
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PMID: 19607702 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Infective endocarditis in hemodialysis patients is challenging but is becoming more common recently. CASE REPORT: A 64-year-old man with end-stage renal disease on hemodialysis presented with infective endocarditis of mitral valve and coronary artery disease after commencing training for home hemodialysis. During a course of antibiotic treatment the patient developed left ventriculo-atrial fistula due to mitral paravalvular abscess. Abscess debridement followed by reconstruction of the mitral annulus with fresh autologous pericardial patch and mitral valve replacement using a mechanical prosthesis with concomitant coronary artery bypass grafting was performed successfully. CONCLUSION: Timely diagnosis, proper antibiotic treatment and early surgical intervention including aggressive debridement should improve the outcome of this high-risk disease. |
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Authors:
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Tadashi Kitamura; James Edwards; Suchi Khurana; Robert G Stuklis |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-07-16 |
Journal Detail:
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Title: Journal of cardiothoracic surgery Volume: 4 ISSN: 1749-8090 ISO Abbreviation: - Publication Date: 2009 |
Date Detail:
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Created Date: 2009-07-30 Completed Date: 2009-09-01 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 101265113 Medline TA: J Cardiothorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 35 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Royal Adelaide Hospital, Adelaide SA, Australia. funcorogash@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
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diagnosis,
drug therapy,
microbiology*,
surgery Anti-Bacterial Agents / therapeutic use Coronary Angiography Coronary Artery Bypass Debridement Echocardiography, Transesophageal Endocarditis, Bacterial / diagnosis, drug therapy, microbiology Fistula / microbiology*, surgery Heart Atria / microbiology*, surgery Heart Valve Diseases / diagnosis, drug therapy, microbiology*, surgery Heart Valve Prosthesis Implantation Heart Ventricles / microbiology*, surgery Hemodialysis, Home / adverse effects Humans Kidney Failure, Chronic / complications, therapy Male Middle Aged Mitral Valve / microbiology*, radiography, surgery, ultrasonography Penicillin G / analogs & derivatives, therapeutic use Reconstructive Surgical Procedures Staphylococcal Infections / complications, diagnosis, drug therapy, surgery Staphylococcus aureus / isolation & purification |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 3264-88-8/benzylpenicillenic acid; 61-33-6/Penicillin G |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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