Document Detail


A case of tuberculous endocarditis with acute aortic valve insufficiency and annular subvalvular left ventricular aneurysm.
MedLine Citation:
PMID:  17444178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tuberculous endocarditis is an exceptionally rare disease, and its surgical operation has been reported in only one case. This is a successful surgical report of acute aortic insufficiency caused by tuberculous endocarditis associated with annular subvalvular left ventricular aneurysm (ASLVA) beneath the aortic valve. This patient had acute left ventricular failure and cardiorespiratory arrest and suffered from multiple organ dysfunction and coagulopathy disorder. Urgent surgery was performed to replace the aortic valve with the approximation of ASLVA. Histopathological findings of the excised aortic cusps gave the diagnosis of tuberculous endocarditis, and antituberculous drug administration started on the first postoperative day. Postoperative recovery has been uneventful without relapse of tuberculosis for 7 postoperative years.
Authors:
Osanori Sogabe; Takashi Ohya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  55     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-04-20     Completed Date:  2007-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Mitoyo General Hospital, 708 Himehama, Kanonji, Kagawa, Japan. osogabe@mitoyo-hosp.jp
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Antitubercular Agents / therapeutic use
Aortic Valve Insufficiency / microbiology*,  surgery
Cardiopulmonary Bypass
Endocarditis, Bacterial / complications*,  drug therapy
Heart Aneurysm / microbiology*,  surgery
Heart Valve Prosthesis Implantation
Humans
Male
Middle Aged
Tuberculosis, Cardiovascular / complications*,  drug therapy
Ventricular Dysfunction, Left / microbiology,  surgery
Chemical
Reg. No./Substance:
0/Antitubercular Agents

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


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