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Successful surgical treatment of Q fever endocarditis with mitral valve repair.
MedLine Citation:
PMID:  22860505     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
We report a case of successful surgical treatment of Q fever endocarditis with mitral valve repair in a 66-year old retired British soldier. Valve replacement is invariably undertaken in Q fever endocarditis due to the degree of valvular damage and concerns about eradicating the organism, Coxiella burnetii. Our unique case allowed valve repair since pre-existing myxomatous degeneration and subsequent posterior mitral valve leaflet prolapse resulted in significant excess valve tissue, allowing quadrangular resection of the damaged and perforated P2 portion of this leaflet. Follow-up at four years (including three years of antibiotic treatment) has confirmed excellent valve repair, with no echocardiographic, clinical or microbiological evidence of recurrence. We are only the second group to describe valve repair in a patient with chronic Q fever endocarditis. Valve repair is preferable to valve replacement for Q fever endocarditis, if technically possible.
Authors:
J N Khan; L D Tapp; J M Glancy; N Prasad; M S Bailey; T R Graham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal Army Medical Corps     Volume:  158     ISSN:  0035-8665     ISO Abbreviation:  J R Army Med Corps     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-08-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505627     Medline TA:  J R Army Med Corps     Country:  England    
Other Details:
Languages:  eng     Pagination:  132-4     Citation Subset:  IM    
Affiliation:
Hereford County Hospital, Wye Valley NHS Trust, Hereford, England, UK.
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