Document Detail


Simultaneous Salmonella spp. endocarditis and mycotic abdominal aortic aneurysm presentation: a surgical dilemma.
MedLine Citation:
PMID:  19411262     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Concomitant valvular and abdominal aortic pathologies, both requiring urgent surgical interventions, are an uncommon entity. The ideal surgical management of such a scenario varies, depending on a host of variables. Due to its complexity and rarity, the ideal management approach remains an unknown. We describe a patient who presents with a delayed diagnosis of concomitant Salmonella species mitral valve (MV) endocarditis and mycotic abdominal aortic aneurysm (AAA). Though both clinical entities required urgent surgical intervention, the presence of one made intervening for the other high-risk and created a surgical dilemma. Following guarded conservative medical management, the patient underwent successful staged surgical interventions.
Authors:
Kanwal Kumar; Darren H Freed; Rakesh C Arora; John J Y Lee
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-01
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  357-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Section of Cardiac Surgery, Cardiac Sciences Program, St Boniface General Hospital, Winnipeg, Manitoba, Canada. kennykumar@shaw.ca
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Infected / microbiology,  radiography,  surgery*
Anti-Bacterial Agents / therapeutic use
Aortic Aneurysm, Abdominal / microbiology,  radiography,  surgery*
Aortography / methods
Debridement
Echocardiography, Transesophageal
Endocarditis, Bacterial / microbiology,  surgery*,  ultrasonography
Female
Heart Valve Prosthesis Implantation*
Humans
Middle Aged
Mitral Valve Insufficiency / microbiology,  surgery*,  ultrasonography
Salmonella Infections / complications*,  microbiology,  therapy
Salmonella enteritidis / isolation & purification*
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):359   [PMID:  19628548 ]

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


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