Infective endocarditis

Martínez, Guillermo; Valchanov, Kamen

doi:10.1093/bjaceaccp/mks005

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…7 Moreover, vegetations of the heart valves are a sign of infective endocarditis; however, this was ruled out in the current case due to a lack of history of this condition. 10,16 On imaging, the size, shape, attachment site, mobility and location of a cardiac mass can aid in the exact diagnosis, along with the patient' s clinical presentation. [17][18][19] For example, in PFE cases, the tumour appears as a small mass attached to the mitral or aortic valve, usually located downstream and attached by a small pedicle; such masses are more common and often mobile and appear irregularly-shaped with delicate frond-like surfaces.…”

Section: Discussionmentioning

confidence: 99%

Aortic Valve Myxoma Presenting with a Stroke: A case report and review of the literature

Alkuwaiti

Elghoneimy

Ghazal

2019

Sultan Qaboos Univ Med J

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Myxomas originating from the aortic valve are rare. We report a 40-year-old male patient who presented to the King Fahd Hospital of the University, Khobar, Saudi Arabia, in 2017 with a stroke. Transoesophageal echocardiography indicated a mobile mass measuring 6 × 2 mm attached to the right coronary cusp of the aortic valve and a mobile interatrial septum with a small patent foramen ovale (PFO). The patient underwent surgical excision of the mass and direct closure of the PFO. Histopathology confirmed the mass to be a myxoma. Despite their rarity, the recognition and treatment of valvular myxomas is very important; moreover, clinicians should be aware that affected patients may present with an embolic stroke.Keywords: Aortic Valve; Myxoma; Patent Foramen Ovale; Stroke; Transesophageal Echocardiography; Case Report; Saudi Arabia.

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Section: Discussionmentioning

confidence: 99%

Aortic Valve Myxoma Presenting with a Stroke: A case report and review of the literature

Alkuwaiti

Elghoneimy

Ghazal

2019

Sultan Qaboos Univ Med J

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“…The most common postoperative complications are persistent septic shock, refractory heart failure, coagulopathy, acute renal failure, stroke, and conduction abnormalities. 190 While cardiac valve dysfunction should be fixed after cardiac surgery, myocardial ischemia or stunning might lead to poor contractility, eventually leading to refractory heart failure. Furthermore, septic shock, accompanied by vasoplegia and/or septic cardiomyopathy, can still develop or aggravate after surgery.…”

Section: Anesthesia and Infective Endocarditismentioning

confidence: 99%

Anesthesia Considerations in Infective Endocarditis

et al. 2022

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The management of infective endocarditis is complex and inherently requires multidisciplinary cooperation. About half of all patients diagnosed with infective endocarditis will meet the criteria to undergo cardiac surgery, which regularly takes place in urgent or emergency settings. The pathophysiology and clinical presentation of infective endocarditis make it a unique disorder within cardiac surgery that warrants a thorough understanding of specific characteristics in the perioperative period. This includes, among others, echocardiography, coagulation, bleeding management, or treatment of organ dysfunction. In this narrative review article, the authors summarize the current knowledge on infective endocarditis relevant for the clinical anesthesiologist in perioperative management of respective patients. Furthermore, the authors advocate for the anesthesiologist to become a structural member of the endocarditis team.

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“…International Journal of Contemporary Medical Research years. 5 Most of the infective endocarditis are bacterial and about 1-3% are fungal. 6 In our country most common risk factor for infective endocarditis are congenital heart diseases (Ventricular Septal Defect, Patent Ductus Arteriosus, Tetralogy Of Fallot) and rheumatic heart diseases.…”

Section: Section: Surgerymentioning

confidence: 99%

“…In cases of fungal endocarditis candida and aspergillus species are commonly responsible. 4,5 The mortality rate has decreased now a days because of early surgical intervention in selected cases. Indications of surgery are intractable heart failure, uncontrolled infection, large mobile vegetations, fungal infective endocarditis etc.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Infective Endocarditis: A Case Series

Lakhotia¹,

Das²,

Mathur³

et al. 2018

IJCMR

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Introduction: Infective endocarditis (IE) is defined as an infection of the endocardial surface of the heart, which may include one or more native or prosthetic heart valves, the mural endocardium leading to tissue destruction and formation of vegetations. It is associated with a high rate of mortality and morbidity. Early surgical intervention in selected cases is the key for better outcome. In this series we present three different scenarios leading to infective endocarditis and their surgical management. Cases report: First case is a 28 year lady with tricuspid valve endocarditis following septic abortion with congestive failure. Second is an eighteen year girl with congenital acyanotic heart disease (VSD) with tricuspid valve endocarditis and left empyema thoracis. Third one is a case of critical mitral valve stenosis with fungal infective endocarditis. All of them were managed surgically successfully. Conclusion: Early diagnosis and timely referral to higher centre for appropriate management plays an important role in the outcome. Abortions by quacks should be condemned. Congenital heart defects and rheumatic valve disease patients should be operated early. Appropriate management with good ICU care is needed for better outcome.

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Infective endocarditis

Cited by 5 publications

References 9 publications

Aortic Valve Myxoma Presenting with a Stroke: A case report and review of the literature

Aortic Valve Myxoma Presenting with a Stroke: A case report and review of the literature

Anesthesia Considerations in Infective Endocarditis

Surgical Management of Infective Endocarditis: A Case Series

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