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Type: Journal article
Title: Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis
Author: Kitamura, T.
Edwards, J.
Khurana, S.
Stuklis, R.G.
Citation: Journal of Cardiothoracic Surgery, 2009; 4
Issue Date: 2009
ISSN: 1749-8090
Abstract: Background: Infective endocarditis in hemodialysis patients is challenging but is becoming more common recently. Case report: A 64-year-old man with end-stage renal disease on hemodialysis presented with infective endocarditis of mitral valve and coronary artery disease after commencing training for home hemodialysis. During a course of antibiotic treatment the patient developed left ventriculo-atrial fistula due to mitral paravalvular abscess. Abscess debridement followed by reconstruction of the mitral annulus with fresh autologous pericardial patch and mitral valve replacement using a mechanical prosthesis with concomitant coronary artery bypass grafting was performed successfully. Conclusion: Timely diagnosis, proper antibiotic treatment and early surgical intervention including aggressive debridement should improve the outcome of this high-risk disease. © 2009 Kitamura et al; licensee BioMed Central Ltd.
DOI: 10.1186/1749-8090-4-35
Appears in Collections:Medicine publications

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