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Type: Journal article
Title: Mitral paravalvular abscess with left ventriculo-atrial fistula in a patient on dialysis
Author: Kitamura, T.
Edwards, J.
Khurana, S.
Stuklis, R.G.
Citation: Journal of Cardiothoracic Surgery, 2009; 4(1):35-1-35-3
Publisher: BioMed Central
Issue Date: 2009
ISSN: 1749-8090
Statement of
Tadashi Kitamura, James Edwards, Suchi Khurana and Robert G Stuklis
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 ventriculo-atrial 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 debridement should improve the outcome of this high-risk disease. © 2009 Kitamura et al; licensee BioMed Central Ltd.
Keywords: Heart Atria
Mitral Valve
Heart Ventricles
Staphylococcus aureus
Endocarditis, Bacterial
Staphylococcal Infections
Kidney Failure, Chronic
Heart Valve Diseases
Penicillin G
Anti-Bacterial Agents
Coronary Angiography
Echocardiography, Transesophageal
Hemodialysis, Home
Heart Valve Prosthesis Implantation
Coronary Artery Bypass
Middle Aged
Plastic Surgery Procedures
Rights: © 2009 Kitamura et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1186/1749-8090-4-35
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