Heart transplantation for Q fever endocarditis.
A 30-year-old man underwent aortic and mitral valve replacement for the treatment of Q fever endocarditis. Postoperatively, paravalvular leak of the mitral prosthesis, progressive deterioration in cardiac function, and intractable heart failure developed. As a result, the patient underwent orthotopic heart transplantation 15 months after his initial valve operation. The patient is clinically well 14 months after transplantation.
Blanche
C
C
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048.
Freimark
D
D
Valenza
M
M
Czer
L S
LS
Trento
A
A
D000328:Adult; D001021:Aortic Valve; D004697:Endocarditis, Bacterial / Q000382:microbiology / Q000601:surgery*; D016027:Heart Transplantation; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008943:Mitral Valve; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000601:surgery*; D011778:Q Fever / Q000150:complications*