title: Double valve replacement and coronary artery bypass in a patient with chronic osteomyelitis.
abstract: Implantation of a prosthetic heart valve is generally contra-indicated in the presence of infection. A 68-year-old man with chronic osteomyelitis underwent successful double valve replacement, combined with coronary artery bypass, after his draining osteomyelitic fistula was controlled with antibiotics. During the 39 months since surgery, he has shown no sign of paravalvular leakage or infectious complications.
authors.affiliation: Department of Surgery, Medical Center Del Oro Hospital, Houston.
authors.forename: P A
authors.initials: PA
authors.lastname: Rubio
authors.forename: M S
authors.initials: MS
authors.lastname: Al-Bassam
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve; D002908:Chronic Disease; D001026:Coronary Artery Bypass; D005269:Femur; D005402:Fistula / Q000188:drug therapy; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve; D010019:Osteomyelitis / Q000188:drug therapy*; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control
chemical_list: D000900:Anti-Bacterial Agents