title: Prosthetic valve endocarditis in a patient with Marfan's syndrome following acupuncture.
abstract: Active prosthetic valve endocarditis (PVE) as a complication of acupuncture requiring valve surgery has not been reported previously. We report a case of PVE in a patient with Marfan's syndrome as a complication of acupuncture, who underwent emergency redo aortic root and valve replacement with a homograft. This report highlights the need for prophylactic antibiotics before acupuncture in patients with prosthetic valves, and also describes the use of a homograft as an effective surgical strategy.
authors.affiliation: Oxford Heart Centre, The John Radcliffe Hospital, Headington, UK.
authors.forename: P
authors.initials: P
authors.lastname: Nambiar
authors.forename: C
authors.initials: C
authors.lastname: Ratnatunga
mesh_terms: D015670:Acupuncture Therapy / Q000009:adverse effects*; D000328:Adult; D019072:Antibiotic Prophylaxis; D001021:Aortic Valve / Q000637:transplantation; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications* / Q000628:therapy*; D016459:Prosthesis-Related Infections / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology; D013211:Staphylococcus aureus; D014184:Transplantation, Homologous