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Cardiac Tamponade following Mitral Valve Replacement for Active Infective Endocarditis with Ring Abscess
Joint Authors
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-22
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Periannular extension and abscess formation are rare but deadly complications of infective endocarditis (IE) with high mortality.
Multimodality cardiac imaging, invasive and noninvasive, is needed to accurately define the extent of the disease.
Debridement, reconstruction, and valve replacement, often performed in an emergent setting, remain the treatment of choice.
Here we present a case of severe IE in a 29-year-old intravenous drug user who after undergoing debridement of the abscess, annular reconstruction, and mitral valve replacement (MVR) presented with recurrence of shortness of breath and pedal edema.
Transthoracic echocardiogram (TTE) showed a 6.2×5.5 cm cavity, posterior to and communicating with the left ventricle through a 3 cm wide fistulous opening, in proximity of the reconstructed mitral annulus.
The patient underwent a redo MVR with patch closure of the fistulous opening, with good clinical outcome.
This case highlights the classic TTE findings and the necessity for close follow-up in the perioperative period in patients undergoing surgery for periannular extension of infection.
A cardiac magnetic resonance imaging can be considered, preoperatively, in such cases to identify the extent of myocardial involvement and surgical planning.
American Psychological Association (APA)
Ranjan, R.& Lawrence, T.. 2015. Cardiac Tamponade following Mitral Valve Replacement for Active Infective Endocarditis with Ring Abscess. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058158
Modern Language Association (MLA)
Ranjan, R.& Lawrence, T.. Cardiac Tamponade following Mitral Valve Replacement for Active Infective Endocarditis with Ring Abscess. Case Reports in Cardiology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1058158
American Medical Association (AMA)
Ranjan, R.& Lawrence, T.. Cardiac Tamponade following Mitral Valve Replacement for Active Infective Endocarditis with Ring Abscess. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058158
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058158