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.
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 90048.
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C
Blanche
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D
Freimark
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M
Valenza
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LS
Czer
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A
Trento
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*