Aortic Valve Endocarditis with Splenic and Brain Abscesses: Difficult Management Issues

2011 ◽  
Vol 14 (2) ◽  
pp. 139 ◽  
Author(s):  
Saina Attaran ◽  
Andrew Wragg ◽  
Wael Ibrahim Awad
Keyword(s):  
Staphylococcus Aureus ◽  
Aortic Valve ◽  
Poor Prognosis ◽  
Operative Mortality ◽  
Complex Case ◽  
Critically Ill Patient ◽  
High Incidence ◽  
Brain Abscesses ◽  
Staphylococcus Aureus Endocarditis ◽  
Management Issues

Staphylococcus aureus endocarditis is associated with a high incidence of complications, a poor prognosis, and high operative mortality. We present a complex case of aortic valve endocarditis in a critically ill patient, highlight the difficult management issues, and report a good outcome.

Fatal ascending aorta-to-right ventricle fistula formation after Staphylococcus aureus endocarditis of bicuspid aortic valve

Heart & Lung ◽  
2005 ◽  
Vol 34 (6) ◽  
pp. 429-432 ◽  
Author(s):  
Jakemia M. Coleman ◽  
Bunyad Haider ◽  
Aloysius B. Cuyjet ◽  
Ramzan M. Zakir ◽  
Linas Riauba ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Aortic Valve ◽  
Right Ventricle ◽  
Bicuspid Aortic Valve ◽  
Ascending Aorta ◽  
Fistula Formation ◽  
Staphylococcus Aureus Endocarditis

Staphylococcus aureus Endocarditis of the Aortic Valve Diagnosed on MR Imaging

2002 ◽  
Vol 179 (6) ◽  
pp. 1647-1647 ◽  
Author(s):  
Yale Pollak ◽  
Cindy R. Comeau ◽  
Steven D. Wolff
Keyword(s):  
Staphylococcus Aureus ◽  
Aortic Valve ◽  
Mr Imaging ◽  
Staphylococcus Aureus Endocarditis

Minimally Invasive Transaortic Repair of the Mitral Valve

2011 ◽  
Vol 14 (4) ◽  
pp. 232 ◽  
Author(s):  
Orlando Santana ◽  
Joseph Lamelas
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Mitral Regurgitation ◽  
Aortic Valve Replacement ◽  
Minimally Invasive ◽  
Valve Replacement ◽  
Operative Mortality ◽  
The Mean ◽  
Transaortic Approach

<p><b>Objective:</b> We retrospectively evaluated the results of an edge-to-edge repair (Alfieri stitch) of the mitral valve performed via a transaortic approach in patients who were undergoing minimally invasive aortic valve replacement.</p><p><b>Methods:</b> From January 2010 to September 2010, 6 patients underwent minimally invasive edge-to-edge repair of the mitral valve via a transaortic approach with concomitant aortic valve replacement. The patients were considered to be candidates for this procedure if they were deemed by the surgeon to be high-risk for a double valve procedure and if on preoperative transesophageal echocardiogram the mitral regurgitation jet originated from the middle portion (A2/P2 segments) of the mitral valve.</p><p><b>Results:</b> There was no operative mortality. Mean cardiopulmonary bypass time was 137 minutes, and mean cross-clamp time was 111 minutes. There was a significant improvement in the mean mitral regurgitation grade, with a mean of 3.8 preoperatively and 0.8 postoperatively. The ejection fraction remained stable, with mean preoperative and postoperative ejection fractions of 43.3% and 47.5%, respectively. Follow-up transthoracic echocardiograms obtained at a mean of 33 days postoperatively (range, 8-108 days) showed no significant worsening of mitral regurgitation.</p><p><b>Conclusion:</b> Transaortic repair of the mitral valve is feasible in patients undergoing minimally invasive aortic valve replacement.</p>

Prosthesis-Patient Mismatch Causes a Significantly Increased Risk of Operative Mortality in Aortic Valve Replacement

2014 ◽  
Vol 17 (3) ◽  
pp. 127 ◽  
Author(s):  
Muhammad Shahzeb Khan ◽  
Faizan Imran Bawany ◽  
Asadullah Khan ◽  
Mehwish Hussain
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Operative Mortality ◽  
Univariate Analysis ◽  
Female Gender ◽  
Valve Prosthesis ◽  
Predictors Of Mortality ◽  
Increased Risk ◽  
Urgent Operation

<p><b>Background:</b> Small aortic prosthesis can lead to prosthesis-patient mismatch (PPM). Implanting such small prosthesis remains a controversial issue. This study was done to investigate whether or not PPM causes an increased operative mortality in aortic valve replacement (AVR).</p><p><b>Methods:</b> Two-hundred-two consecutive patients undergoing primary AVR in a tertiary hospital were included. The sample was grouped according to the aortic valve prosthesis size: ?21 mm (small) and >21 mm (standard). The effect of variables on outcomes was determined by univariate and multivariable regression analyses.</p><p><b>Results:</b> PPM was found significantly more among patients with AVR ? 21mm (<i>P</i> < 0.0001). Moreover, the likelihood of mortality also was significantly higher in these patients (<i>P</i> < 0.0001). Univariate analysis demonstrated small prosthesis size, urgent operation, PPM, female gender, and NYHA Class IV as significant predictors of mortality. Multivariate regression identified female gender, PPM, and urgent operation as the key independent predictors of mortality.</p><p><b>Conclusion:</b> PPM and female gender are significant predictors of mortality. Care should be taken to prevent PPM by implanting larger prosthesis especially in females.</p>

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