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https://hdl.handle.net/2440/54756
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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(1):35-1-35-3 |
Publisher: | BioMed Central |
Issue Date: | 2009 |
ISSN: | 1749-8090 1749-8090 |
Statement of Responsibility: | Tadashi Kitamura, James Edwards, Suchi Khurana and Robert G Stuklis |
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. |
Keywords: | Heart Atria Mitral Valve Heart Ventricles Humans Staphylococcus aureus Endocarditis, Bacterial Staphylococcal Infections Abscess Kidney Failure, Chronic Heart Valve Diseases Fistula Penicillin G Anti-Bacterial Agents Coronary Angiography Echocardiography, Transesophageal Hemodialysis, Home Heart Valve Prosthesis Implantation Coronary Artery Bypass Debridement Middle Aged Male Plastic Surgery Procedures |
Rights: | © 2009 Kitamura et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1186/1749-8090-4-35 |
Published version: | http://dx.doi.org/10.1186/1749-8090-4-35 |
Appears in Collections: | Aurora harvest 7 Medicine publications |
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