Document Detail

Unusual cardiac complications of Staphylococcus aureus endocarditis.
MedLine Citation:
PMID:  17683908     Owner:  NLM     Status:  MEDLINE    
Bacterial endocarditis is a complex disease that is associated with significant morbidity and mortality. Staphylococcus aureus is an organism commonly responsible for acute bacterial infective endocarditis. Patients many times develop an acute fulminant infection resulting in multiple complications, even in the face of adequate therapy. We report an unusual case of S. aureus acute bacterial infective endocarditis in an immunocompromised patient resulting in multiple cardiac complications, including bacterial pericarditis with effusion, mycotic aneurysm of one of the coronary arteries, a valvular vegetation leading to an aneurysmal dilatation at the mitral-aortic junction (intervalvular fibrosa), and a fistulous communication between the left ventricle and left atrium. We present detailed echocardiographic images of these anomalies, which were subsequently confirmed intraoperatively. The patient underwent open heart surgery with pericardial patch repair of the mitral-aortic intervalvular fibrosa aneurysm and fistula.
Chandra Kunavarapu; Yefin Olkovsky; James C Lafferty; Ali R Homayuni; Sowjanya S Mohan; Joseph McGinn
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-08-01
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  21     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-11     Completed Date:  2008-03-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  187.e3-5     Citation Subset:  IM    
Department of Cardiology, Medical College of Georgia, Augusta, Georgia 30912, USA.
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MeSH Terms
Cardiac Surgical Procedures / methods
Combined Modality Therapy
Coronary Aneurysm / etiology,  surgery,  ultrasonography*
Echocardiography, Transesophageal*
Endocarditis, Bacterial / complications*,  diagnosis
Fistula / etiology,  surgery,  ultrasonography*
Follow-Up Studies
Heart Atria
Heart Ventricles
Middle Aged
Mitral Valve Insufficiency / etiology*,  surgery,  ultrasonography*
Risk Assessment
Severity of Illness Index
Staphylococcal Infections / complications*,  diagnosis,  drug therapy
Treatment Outcome

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