Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/62241
Título: | Prosthetic aortic valve: a bone in the system |
Autor(es): | Pereira, Vítor Hugo Guardado, Joana Fernandes, Marina Lourenço, Mário Machado, Inocência Quelhas, Isabel Azevedo, Olga Lourenço, António |
Palavras-chave: | Aged Aortic Valve Endocarditis, Bacterial Female Foreign Bodies Humans Streptococcal Infections Heart Valve Prosthesis Streptococcus milleri Group Abscesses Infective endocarditis Prosthetic aortic valve Pseudoaneurysm Streptococcus milleri |
Data: | Fev-2015 |
Editora: | Elsevier Doyma SL |
Revista: | Revista Portuguesa de Cardiologia |
Citação: | Pereira, V. H., Guardado, J., Fernandes, M., et. al.(2015). Prosthetic aortic valve: A bone in the system. Revista Portuguesa de Cardiologia (English Edition), 34(2), |
Resumo(s): | We report a case of a 73-year-old female patient admitted to the surgical department for a splenic abscess. She had a history of a mechanical aortic valve implanted two years earlier. During the diagnostic work-up, the patient underwent a transesophageal echocardiogram that revealed the presence of multiple paravalvular abscesses, establishing the diagnosis of prosthetic valve endocarditis. A few days later, the echocardiogram was repeated due to a new-onset systolic-diastolic murmur. A large pseudoaneurysm and significant periprosthetic regurgitation were now noted and the patient was referred for cardiac surgery. The microbiologic exam revealed the presence of Streptococcus milleri, usually found in the gastrointestinal flora and a known pathogenic agent of endocarditis. Interestingly, the patient had had a foreign body (bone fragment) removed from her esophagus a few weeks earlier, which was the probable portal of entry for this infective endocarditis. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/62241 |
DOI: | 10.1016/j.repc.2014.08.023 |
ISSN: | 0870-2551 |
e-ISSN: | 2174-2030 |
Versão da editora: | https://www.sciencedirect.com/science/article/pii/S2174204915000355 |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
Aparece nas coleções: | ICVS - Artigos em revistas internacionais / Papers in international journals |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
---|---|---|---|---|
1-s2.0-S0870255115000098-main.pdf | 1,05 MB | Adobe PDF | Ver/Abrir |