title: Nocardial endocarditis after aortic valve replacement. Reports of two cases.
abstract: Nocardial sepsis occurred after aortic valve replacement in two patients. A septic suture aneurysm of the aortotomy was resected and the prosthesis exchanged in one of them. The other received conservative treatment for sternal osteomyelitis and local mediastinitis. Clinical cure was followed by relapse and death from cerebral infarction, and necropsy revealed a septic suture aneurysm of the aortotomy. Radical surgical revision seems to be necessary for lasting cure in such infections.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Würzburg, FRG.
authors.forename: P
authors.initials: P
authors.lastname: Eigel
authors.forename: O
authors.initials: O
authors.lastname: Elert
authors.forename: H
authors.initials: H
authors.lastname: Hopp
authors.forename: R
authors.initials: R
authors.lastname: Silber
authors.forename: W
authors.initials: W
authors.lastname: Romen
authors.forename: H
authors.initials: H
authors.lastname: Schmidt-Rotte
mesh_terms: D000368:Aged; D004697:Endocarditis, Bacterial / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009617:Nocardia Infections / Q000209:etiology*