tailieunhanh - Báo cáo y học: "Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis. | Journal of Cardiothoracic Surgery BioMed Central Open Access Case study Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis Tadashi Kitamura 1 James Edwards1 Suchi Khurana2 and Robert G Stuklis1 Address Department of Cardiothoracic Surgery Royal Adelaide Hospital North Terrace Adelaide SA 5000 Australia and 2Department of Cardiology Royal Adelaide Hospital North Terrace Adelaide SA 5000 Australia Email Tadashi Kitamura - funcorogash@ James Edwards - Suchi Khurana - Robert G Stuklis - Corresponding author Published 16 July 2009 Received 28 April 2009 Journal of Cardiothoracic Surgery 2009 4 35 doi 1749-8090-4-35 Accepted 16 July 2009 This article is available from http content 4 1 35 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 licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. 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 ventriculoatrial 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 .

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