Document Detail

Triple-valve treatment for prosthetic valve endocarditis occurring 20 years after implantation of a Carpentier-Edwards pericardial bioprosthesis in the aortic valve.
MedLine Citation:
PMID:  19085053     Owner:  NLM     Status:  MEDLINE    
A 68-year-old woman had undergone aortic valve replacement and open commissurotomy 20 years previously. At the beginning of 2008, fever, cold, and heart failure symptoms were noted. On blood culture, Streptococcus oralis was detected three times. Surgery was performed under a diagnoses of prosthetic valve endocarditis in the aortic valve, mitral stenosis and insufficiency, and tricuspid insufficiency. Techniques consisted of additional aortic valve replacement, mitral valve replacement, and tricuspid annuloplasty. Vegetation was macroscopically and pathologically observed in the extirpated Carpentier-Edwards pericardial bioprosthesis that had been placed in the aortic valve. There was no postoperative recurrent inflammatory response. The patient was discharged 32 days after surgery.
Yoichi Hisata; Shiro Hazama; Kenta Izumi; Kiyoyuki Eishi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-16
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  56     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-16     Completed Date:  2009-02-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  595-8     Citation Subset:  IM    
Division of Cardiovascular Surgery, Sasebo City General Hospital, 9-3 Hirase, Sasebo, and Nagasaki University School of Medicine, Nagasaki, 857-8511, Japan.
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MeSH Terms
Aortic Valve / surgery
Aortic Valve Stenosis / surgery
Bioprosthesis / adverse effects*
Endocarditis, Bacterial / microbiology,  pathology,  surgery*
Heart Valve Prosthesis / adverse effects*
Heart Valve Prosthesis Implantation / instrumentation*
Heart Valves / microbiology,  pathology,  surgery*
Mitral Valve / surgery
Mitral Valve Stenosis / surgery
Pericardium / transplantation*
Prosthesis Design
Prosthesis-Related Infections / microbiology,  pathology,  surgery*
Rheumatic Heart Disease / microbiology,  pathology,  surgery*
Streptococcus oralis / isolation & purification
Treatment Outcome
Tricuspid Valve / surgery

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