Document Detail

Mitral stenosis and cardiogenic shock from an obstructive abscess of the mitral annulus.
MedLine Citation:
PMID:  18401477     Owner:  NLM     Status:  MEDLINE    
A 48-year-old female hemodialysis patient with gram-positive mitral endocarditis developed progressive hemodynamic collapse. Echocardiography revealed a mitral annular abscess, which expanded rapidly due to connection with and pressure from the left ventricle. The mitral annular abscess had enlarged sufficiently to obstruct the mitral orifice, resulting in acute cardiogenic shock. The patient underwent and survived emergency surgical repair, and remained well on follow-up.
Jeremy Kobulnik; Stuart J Hutchison
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  24     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-10     Completed Date:  2008-05-05     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e22-4     Citation Subset:  IM    
Division of Cardiology, St Michael's Hospital, University of Toronto, Toronto, Ontario.
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MeSH Terms
Abscess / complications*,  diagnosis,  surgery
Bacteremia / complications,  diagnosis
Calcinosis / diagnosis,  etiology
Echocardiography, Transesophageal
Endocarditis, Bacterial / complications*,  diagnosis,  surgery
Heart Valve Diseases / complications*,  diagnosis,  surgery
Heart Valve Prosthesis Implantation
Mitral Valve* / surgery
Mitral Valve Stenosis / diagnosis,  etiology*,  surgery
Renal Dialysis
Shock, Cardiogenic / diagnosis,  etiology*,  surgery
Staphylococcal Infections / complications*,  diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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