1/44. Listeria endocarditis causing aortic root abscess and a fistula to the left atrium.We report the case of a 74-year-old man who presented with endocarditis on a porcine aortic valve replacement. Five of six blood cultures grew listeria monocytogenes. Transoesophageal echocardiography demonstrated the presence of a cavity posterior to the aortic annulus, apparently communicating with the left atrium. The patient underwent successful aortic valve re-replacement. Listeria endocarditis is rare with only 58 reported cases in the literature and is associated with high mortality.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
2/44. Pseudoaneurysm of the left ventricle: a rare sequela to mitral valve endocarditis.Pseudoaneurysms of the left ventricle are a very unusual sequela to mitral valve endocarditis. We report the case of a 62-year-old woman who developed postendocarditis submitral left-ventricular pseudoaneurysm, which was diagnosed by means of transesophageal echocardiography. The mitral valve was replaced with a prosthesis, and the mouth of the pseudoaneurysm was closed with a patch. We discuss the possible mechanism of development of this unusual sequela to mitral valve endocarditis and emphasize the diagnostic value of transesophageal echocardiography.- - - - - - - - - - ranking = 0.29936638201144keywords = mouth (Clic here for more details about this article) |
3/44. eikenella corrodens prosthetic valve endocarditis in a patient with ulcerative colitis.A 33-y-old male with ulcerative colitis developed prosthetic valve endocarditis (PVE) caused by eikenella corrodens. The outcome of conservative treatment was successful. Only 2 cases of E. corrodens PVE were found in a survey of the English-language medical literature. In contrast to previous data indicating that eikenella infections usually derive from the oral cavity, our patient most likely acquired the infection by colonoscopy and mucosal biopsies, which were performed a few days before onset of the disease.- - - - - - - - - - ranking = 5.795888990621keywords = oral cavity, cavity (Clic here for more details about this article) |
4/44. Repair of aortic root abscess cavity with gelatin-Resorcin-Formol biological glue.We report a case of infective endocarditis in which gelatin-Resorcin-Formol biological glue enabled safe and effective aortic root repair to be performed in a 57-year-old man with infective endocarditis and subsequent aortic valve insufficiency.- - - - - - - - - - ranking = 4keywords = cavity (Clic here for more details about this article) |
5/44. Rothia dentocariosa endocarditis complicated by multiple intracranial hemorrhages.Rothia dentocariosa is a gram-positive rod found commonly as part of the normal flora of the mouth. It rarely causes clinical disease. Subacute infective endocarditis has been the most commonly reported R dentocariosa infection, and extracardiac complications occur frequently. Solitary intracranial hemorrhages have been reported in two cases. We describe the first case of infective endocarditis complicated by the sequential and unusually prolonged development of multiple new intracranial hemorrhages.- - - - - - - - - - ranking = 0.29936638201144keywords = mouth (Clic here for more details about this article) |
6/44. endocarditis caused by penicillin-resistant viridans streptococci: 2 cases and controversies in therapy.Although penicillin-resistant viridans streptococci have been isolated from samples from the mouth, blood, and wounds in increasing numbers, viridans streptococci isolated from patients with endocarditis have remained sensitive to penicillin for the past 5 decades. We report the cases of 2 patients with penicillin-resistant viridans streptococcal endocarditis, review 6 other cases from the literature, and summarize 2 studies that used an animal model of penicillin-resistant viridans streptococcal endocarditis.- - - - - - - - - - ranking = 0.29936638201144keywords = mouth (Clic here for more details about this article) |
7/44. rupture of the spleen in infective endocarditis.A patient had delayed spontaneous rupture of the spleen complicating infective endocarditis. In 20 other cases reported through 1973, the most common presentation was found to be left upper quadrant pain followed by signs of peritoneal irritation and cardiovascular collapse. Abdominal paracentesis consistently yields free blood or pus in the peritoneal cavity; blood replacement and emergency splenectomy may be lifesaving. The basic pathological mechanisms may be (1) rupture of a mycotic aneurysm into the splenic substance (2) rupture of a splenic abscess, and (3) rupture of a suppurating intrasplenic vessel with hematoma formation, subcapsular dissection, and delayed capsular tear.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
8/44. Unusual cases of infective endocarditis.We report 2 patients with unusual cases of infective endocarditis. The first patient had a large, mural vegetation on left ventricle that was diagnosed with transthoracic echocardiography; and the second patient had a large, mobile vegetation in the descending prosthetic aorta with an abscess cavity around the vessel, diagnosed by transesophageal echocardiography. This report confirms the usefulness of transthoracic and transesophageal echocardiography in the diagnosis and management of uncommon cases of endocarditis.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
9/44. Aortic root pseudoaneurysm following surgery for aortic valve endocarditis.Prosthetic aortic valve replacement for aortic valve endocarditis remains a primary practice of most cardiac surgeons. Usually it cures endocarditis and restores cardiac function. However, in advanced aortic valve endocarditis with complex annular destruction, complications following prosthetic aortic valve replacement do occur and present a formidable challenge for reoperation. Herein, we describe a case of an adult man who was operated on initially for advanced aortic valve endocarditis with a large periannular abscess cavity and who developed congestive heart failure 3 months later. Furthermore, he was diagnosed with a giant pseudoaneurysm around the aortic root without evidence of recurrent infection or aortic prosthetic incompetence. During his reoperation, a cryopreserved aortic homograft as a root replacement that included reimplantation of bilateral coronary artery buttons was used to exteriorize this pseudoaneurysm and reconstruct a left ventricular outflow tract. The postoperative course was unremarkable, and the patient, during a follow-up of 2 years, remained in new york Heart association functional class I. Aortic root pseudoaneurysm following prosthetic aortic valve replacement for infective endocarditis is rare in clinical practice and can cause rapid hemodynamic deterioration which requires imminent reoperation. Homograft aortic root replacement has proven to be a versatile treatment option of this complex disease.- - - - - - - - - - ranking = 1keywords = cavity (Clic here for more details about this article) |
10/44. pasteurella multocida endocarditis: report of a case.The present case involves a 48-year-old male patient who presented with pasteurella multocida endocarditis associated with preexisting mitral valve stenosis. A mitral valve replacement was successfully performed after 3 weeks of intravenous infusion with antibiotics. pasteurella multocida is a normal inhabitant of the oral cavity of dogs and cats. Therefore, people who have frequent contact with these animals should be examined periodically for signs of infection.- - - - - - - - - - ranking = 5.795888990621keywords = oral cavity, cavity (Clic here for more details about this article) |
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