Document Detail

Right-sided endocarditis secondary to a peritoneovenous shunt.
MedLine Citation:
PMID:  20847979     Owner:  NLM     Status:  MEDLINE    
A 51-year-old woman with a peritoneovenous shunt for refractory ascites presented with three months of increasing fatigue, exertional dyspnea, night sweats and positive blood cultures. Imaging revealed multiple pulmonary emboli. Transthoracic  chocardiography demonstrated moderate tricuspid regurgitation and a large pedunculated right atrial mass attached to the interatrial septum. The echocardiographic appearance remained unchanged after one month of antibiotic therapy and  nticoagulation. Intraoperatively, the mass was easily excised and the grossly abnormal tricuspid valve replaced. Pathology revealed endocarditis with multiple bacterial colonies, and fibromyxoid changes consistent with postinflammatory valve disease.
Jennifer Higgins; Hossein Shayan; Guy Fradet
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  26     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:    2010 Aug-Sep
Date Detail:
Created Date:  2010-09-17     Completed Date:  2010-10-15     Revised Date:  2011-08-03    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e280-1     Citation Subset:  IM    
University of British Columbia, Vancouver.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Anticoagulants / therapeutic use
Cardiac Surgical Procedures / methods
Drug Therapy, Combination
Endocarditis, Bacterial / diagnosis,  microbiology*,  therapy
Gram-Positive Bacterial Infections / complications*,  diagnosis,  therapy
Heart Valve Prosthesis Implantation
Middle Aged
Peritoneovenous Shunt / adverse effects*
Peritonitis / complications*
Treatment Outcome
Tricuspid Valve / pathology,  surgery
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anticoagulants

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

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