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tricuspid valve endocarditis

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https://www.readbyqxmd.com/read/27910125/bioprosthetic-tricuspid-valve-replacement-for-tricuspid-valve-endocarditis-secondary-to-infected-endocardial-pacemaker-leads
#1
Zhiwei Xu, Qiuxia Shi, Ju Mei, Yan Tan
BACKGROUND: The purpose of this study was to present outcomes of bioprosthetic tricuspid valve replacement (TVR) in patients with tricuspid valve infective endocarditis (TVIE). METHODS: From October 2001 to December 2015, 26 patients underwent a bioprosthetic TVR due to severe TVIE after endocardial pacemaker implantation. RESULTS: Staphylococcus species and Streptococcus species were the predominant microorganisms. Early 30-day hospital mortality was 0 (0%)...
December 1, 2016: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/27904114/two-cases-of-proteinase-3-anti-neutrophil-cytoplasmic-antibody-pr3-anca-related-nephritis-in-infectious-endocarditis
#2
Kazuya Hirai, Naoto Miura, Masabumi Yoshino, Kanyu Miyamoto, Hironobu Nobata, Takuhito Nagai, Keisuke Suzuki, Shogo Banno, Hirokazu Imai
We herein report two cases of proteinase 3-anti-neutrophil cytoplasmic antibody (PR3-ANCA)-related nephritis in infectious endocarditis. In both cases, the patients were middle-aged men with proteinuria and hematuria, hypoalbuminemia, decreased kidney function, anemia, elevated C-reactive protein (CRP) levels, and PR3-ANCA positivity. Each had bacteremia, due to Enterococcus faecium in one and Streptococcus bovis in the other. One patient received aortic valve replacement therapy for aortic regurgitation with vegetation, and the other underwent tricuspid valve replacement therapy and closure of a ventricular septic defect to treat tricuspid regurgitation with vegetation...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27900966/infective-endocarditis-in-chronic-hemodialysis-a-transition-from-left-heart-to-right-heart
#3
Y Bentata, I Haddiya, N Ismailli, N El Ouafi, A Benzirar, O El Mahi, A Azzouzi
Infective endocarditis (IE) of the left heart is the most frequent type of IE in chronic hemodialysis (CHD) (in 90% of cases) whereas involvement of the right heart is rare. The aim of this study was to determine the clinical, biological, and echocardiographic characteristics, as well as the prognosis of IE in CHD. This is a retrospective study conducted at the Center of Nephrology and Hemodialysis in Oujda, Morocco. Over a period of 56 months, we compiled data on a series of 11 CHD patients with IE. Their mean age was 40...
November 2016: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/27829472/post-market-surveillance-to-detect-adverse-events-associated-with-melody%C3%A2-valve-implantation
#4
Kevin D Hill, Bryan H Goldstein, Michael J Angtuaco, Patricia Y Chu, Gregory A Fleming
OBJECTIVE: The aim of this study was to describe previously unrecognised or under-recognised adverse events associated with Melody® valve implantation. BACKGROUND: In rare diseases and conditions, it is typically not feasible to conduct large-scale safety trials before drug or device approval. Therefore, post-market surveillance mechanisms are necessary to detect rare but potentially serious adverse events. METHODS: We reviewed the United States Food and Drug Administration's Manufacturer and User Facility Device Experience (MAUDE) database and conducted a structured literature review to evaluate adverse events associated with on- and off-label Melody® valve implantation...
November 10, 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/27785140/implantation-of-mitral-aortic-and-tricuspid-bioprostheses-due-to-infective-endocarditis-with-necessary-reimplantation-of-the-bioprosthetic-aortic-valve
#5
Cezary Danielecki, Paweł Bugajski, Roman Olszewski, Krzysztof Greberski, Ryszard Kalawski
The patient was admitted to the Department of Cardiac Surgery of the J. Struś City Hospital in Poznan due to infective endocarditis involving the aortic, mitral, and tricuspid valves. Implantation of three biological valve prostheses proceeded without complications. Starting on day 23, the patient's general condition deteriorated, with high fever. Despite postoperative antibiotic therapy, transesophageal echocardiography revealed the presence of vegetation on the bioprosthetic aortic valve. On the 46(th) day after the initial surgery, the patient required replacement of the aortic bioprosthesis, which exhibited the presence of numerous vegetations...
September 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27784495/-extensive-burns-complicated-with-infective-endocarditis-and-septic-pulmonary-embolism-case-report-and-literature-review
#6
T S Li, Y Qi, Y Wang, Y X Wang, F Y Liu, L Dai, G G Xia
Objective: To improve the clinical recognition of infective endocarditis (IE) and septic pulmonary embolism (SPE) in patients with extensive burns. Methods: A case of large area burn complicated with IE and SPE confirmed by blood cultures and echocardiography was described. A literature review was performed with "burn" and "infective endocarditis" as the Chinese key words in Wanfang database; with "burn" and "infective endocarditis" as Mesh terms in PubMed. Results: The patient was a 37-year-old male with large area burn, who presented with fever and hemoptysis...
October 12, 2016: Chinese Journal of Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/27759356/tricuspid-valve-endocarditis
#7
M Palaniappan, Padmini V Usha, P Balamurugan, Sree P Sanbaka, B Vetriveeran, Hrudya Venugopal, S Rajesh, M Gayathri, M Raveendran
We report a case of isolated native tricuspid valve infective endocarditis caused by Coagulase Negative Staphylococcus in a non-IV drug abuser without structural heart disease. Early diagnosis and prompt initiation of appropriate treatment saved the patient without surgical intervention. The recent trend of Coagulase Negative Staphylococci (CoNS) causing native valve endocarditis (NVE) is reviewed with literature.
July 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27707668/a-case-of-tricuspid-valve-endocarditis-due-to-cardiobacterium-hominis-which-emphasizes-the-shift-between-the-poverty-of-clinical-symptoms-and-the-severity-of-cardiac-damages
#8
Lucie Molet, Matthieu Revest, Maxime Fournet, Erwan Donal, Martine Bonnaure-Mallet, Jacques Minet, Hervé Le Bars
Infectious endocarditis due to Cardiobacterium hominis is an uncommon event, accounting for less than 2% of all cases of infectious endocarditis. The infection of the tricuspid valve as it is reported here is extremely rare. We report the case of a tricuspid endocarditis due to Cardiobacterium hominis in a 56 year-old man who was admitted to hospital with pelvic and scapular pain. The diagnosis was established through positive blood cultures and echographic detection of a large tricuspid vegetation. Despite efficient antibiotic therapy, valve replacement was required...
December 1, 2016: Annales de Biologie Clinique
https://www.readbyqxmd.com/read/27699025/allogeneic-stem-cell-transplantation-in-a-blast-phase-chronic-myeloid-leukemia-patient-with-carbapenem-resistant-klebsiella-pneumoniae-tricuspid-valve-endocarditis-a-case-report
#9
Bulent Kantarcioglu, Huseyin Saffet Bekoz, Fatih Erkam Olgun, Beytullah Cakal, Burak Arkan, Halil Turkoglu, Ali Mert, Deniz Sargin
In chronic myeloid leukemia (CML), the occurrence of blastic transformation is rare. Treatment outcome is generally poor. Allogeneic stem cell transplantation (allo-SCT) is the only potentially curative treatment option for advanced-phase CML. Infections caused by carbapenem-resistant Klebsiella pneumoniae (CRKP) isolates are associated with high morbidity and mortality rates, particularly in patients with haematological malignancies. Infection and colonization by these multiresistant bacteria may represent a challenge in SCT recipients for the management of post-transplantation complications, as well as for the eligibility to receive a transplant in patients who acquire the pathogen prior to the procedure...
October 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/27688000/nonbacterial-thrombotic-endocarditis-involving-both-the-tricuspid-and-aortic-valves
#10
Bhaskar Bhardwaj, Ata Bajwa, Amit Sharma, Arooge Towheed, Bakul V Sanghani, A Iain McGhie
A 71-year-old male presented after sudden onset of confusion and expressive aphasia. MRI head revealed multiple ischemic lesions consistent with cardio-embolic pathophysiology. A computed tomography angiography of lung showed peripheral pulmonary emboli. He underwent a transesophageal echocardiogram as a part of the stroke workup and was found to have vegetations on both aortic and tricuspid valves. The blood cultures did not show any growth, and the patient remained afebrile during the course of hospitalization...
September 30, 2016: Echocardiography
https://www.readbyqxmd.com/read/27634410/postoperative-dyspnoea
#11
Jason R Sims, Maurice Enriquez-Sarano, Hector I Michelena
CLINICAL INTRODUCTION: A man in his 50s presented with abscessed aortic valve methicillin-sensitive Staphylococcus aureus endocarditis, received intravenous antibiotics and underwent bioprosthetic aortic valve replacement with removal of all infected tissues. He returned 18 days later with severe dyspnoea, subjective fever and bilateral lower extremity oedema. Physical examination revealed tachypnoea and tachycardia without fever, prominent neck CV waves visible at 90°, left parasternal heave, 3/6 holosystolic murmur across the precordium, lung rales and severe peripheral oedema...
September 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27617630/group-b-streptococcal-tricuspid-valve-endocarditis-with-splenic-infarction-after-an-elective-abortion
#12
P Zhu, Y Sun, S Zheng
Tricuspid valve endocarditis is mainly found in intravenous drug abusers, and with splenic infarction in obstetric and gynaecologic practice is rare. We report the case of a 37-year-old woman with tricuspid infective endocarditis and splenic infarction after an elective abortion. The infected tricuspid valve and infarcted spleen were removed at one-stage operation. Systemic circulation arterial embolism should be considered when treating patients with right-sided endocarditis and a history of obstetrical procedures...
February 18, 2016: West Indian Medical Journal
https://www.readbyqxmd.com/read/27612147/a-novel-technique-to-reconstruct-tricuspid-valve-anterior-leaflet-in-massive-endocarditis
#13
Gabriele Di Giammarco, Daniele Marinelli, Massimiliano Foschi, Michele Di Mauro
Tricuspid valve (TV) endocarditis is a common complication in intravenous drug addicts. In case of TV replacement, the main issue is the high risk of new endocarditis on TV prosthesis. On November 2014, a 44 year-old male patient with a history of intravenous drug addiction was referred for TV endocarditis owing to Staphylococcus aureus and severe regurgitation complicated by pulmonary embolism and heart failure. Preoperative echocardiography showed a large vegetation of the anterior leaflet (1.95 × 0.92 cm) covering a huge hole in the leaflet itself...
July 2016: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/27604147/complete-atrioventricular-block-complicating-mitral-infective-endocarditis-caused-by-streptococcus-agalactiae
#14
Masaru Arai, Koichi Nagashima, Mahoto Kato, Naotaka Akutsu, Misa Hayase, Kanako Ogura, Yukino Iwasawa, Yoshihiro Aizawa, Yuki Saito, Yasuo Okumura, Haruna Nishimaki, Shinobu Masuda, Astushi Hirayama
BACKGROUND Infective endocarditis (IE) involving the mitral valve can but rarely lead to complete atrioventricular block (CAVB). CASE REPORT A 74-year-old man with a history of infective endocarditis caused by Streptococcus gordonii (S. gordonii) presented to our emergency room with fever and loss of appetite, which had lasted for 5 days. On admission, results of serologic tests pointed to severe infection. Electrocardiography showed normal sinus rhythm with first-degree atrioventricular block and incomplete right bundle branch block, and transthoracic echocardiography and transesophageal echocardiography revealed severe mitral regurgitation caused by posterior leaflet perforation and 2 vegetations (5 mm and 6 mm) on the tricuspid valve...
September 8, 2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27587216/-surgical-pathology-analysis-of-the-causes-of-failure-of-48-bioprosthetic-heart-valves-in-40-chinese-cases
#15
X J Duan, H Y Wang, J P Xu, L Li, H Y Xu, Q Z Wang
OBJECTIVE: To investigate the pathological changes and related factors leading to failure of bioprosthetic valves. METHODS: The surgical explanted bioprosthetic valves in Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College from January 2006 to December 2014 were retrospectively reviewed. Calcification, cusp tears, pannus and infectious endocarditis of bioprosthetic valves were evaluated by gross examination, X ray photography and histopathological analysis...
September 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27493083/-infective-endocarditis-in-patients-with-bicuspid-aortic-valve-clinical-characteristics-complications-and-prognosis
#16
Víctor M Becerra-Muñoz, Josefa Ruíz-Morales, Isabel Rodríguez-Bailón, Gemma Sánchez-Espín, Miguel A López-Garrido, Juan Robledo-Carmona, Ana Guijarro-Contreras, María Victoria García-López, Rada Ivanova-Georgieva, Laura Mora-Navas, Juan José Gómez-Doblas, Eduardo de Teresa-Galván
INTRODUCTION: Bicuspid aortic valve (BAV) is the most frequent congenital cardiac disease. It is associated to a higher risk of cardiovascular complications, including infective endocarditis (IE). METHODS: Retrospective, observational and single centre study that included all patients with IE diagnosed between 1996 and 2014. An analysis was made of the epidemiological, clinical, microbiological and echocardiographic data, complications during hospital admission, need for surgery, in-hospital mortality, and 1-year follow-up...
August 1, 2016: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/27468927/is-mitral-valve-repair-superior-to-mitral-valve-replacement-in-elderly-patients-comparison-of-short-and-long-term-outcomes-in-a-propensity-matched-cohort
#17
Miriam Silaschi, Sanjay Chaubey, Omar Aldalati, Habib Khan, Mohammed Mohsin Uzzaman, Mrinal Singh, Max Baghai, Ranjit Deshpande, Olaf Wendler
BACKGROUND: Because of demographic changes, a growing number of elderly patients present with mitral valve (MV) disease. Although mitral valve repair (MV-repair) is the "gold standard" treatment for MV disease, in elderly patients, there is controversy about whether MV-repair is superior to mitral valve replacement. We reviewed results after MV surgery in elderly patients treated over the past 20 years. METHODS AND RESULTS: Our in-hospital database was explored for patients who underwent MV surgery between 1994 and 2015...
August 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27449440/valvular-cytomegalovirus-endocarditis
#18
Timothy J Stear, David Shersher, George J Kim, Douglas R Smego
Endocarditis is a rare presentation for cytomegalovirus (CMV) infection. We present the case of a 49-year-old man who underwent mitral and tricuspid valve replacement for valvular CMV endocarditis. The patient's past medical history was significant for human immunodeficiency virus, intravenous drug abuse, and chronic hepatitis B. During his clinical course, he was found to have tricuspid and mitral valve vegetations. After progressive valvular destruction despite antibiotic therapy, he underwent successful mitral and tricuspid valve replacement...
August 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27445031/different-types-of-tricuspid-flail-case-reports-and-review-of-the-literature
#19
Antonio D'Aloia, Ivano Bonadei, Enrico Vizzardi, Edoardo Sciatti, Silvia Bugatti, Antonio Curnis, Marco Metra
Tricuspid regurgitation (TR) is a common Doppler echocardiographic finding resulting from either intrinsic valve abnormalities or functional malcoaptation of structurally normal valves. TR caused by flail leaflets is most often post-traumatic, is caused by endocarditis or is a consequence of a myxomatously degenerated valve. The clinical presentation is severe and is characterized by excess mortality and high morbidity. Flail leaflets are reliably diagnosed using 2-dimensional and 3-dimensional echocardiography...
March 2016: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
https://www.readbyqxmd.com/read/27421572/impact-of-cusp-repair-on-reoperation-risk-after-the-david-procedure
#20
Fabrizio Settepani, Antioco Cappai, Alessio Basciu, Alessandro Barbone, Monica Moz, Enrico Citterio, Diego Ornaghi, Giuseppe Tarelli
BACKGROUND: We assessed whether additional cusp repair during valve-sparing aortic root replacement affects the echocardiographic mid-term results; a subgroup analysis among patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV) was performed. METHODS: Between June 2002 and May 2015, 157 consecutive patients underwent valve-sparing aortic root replacement with the David technique. Thirty patients (19%) had BAV. In 19 patients (12%), cusp motion or anatomic abnormalities contributed in determining aortic regurgitation requiring an additional cusp repair...
July 13, 2016: Annals of Thoracic Surgery
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