Embolic stroke after "cured" prosthetic aortic valve endocarditis.
The authors report on the case of a patient with infective endocarditis of a prosthetic valve in the aortic position, after receiving percutaneous transluminal coronary angioplasty. Transesophageal echocardiography provided valuable information about the existence and size of vegetations at the time of initial diagnosis and during followup. Despite successful treatment resulting in good control of the infection and a significant reduction of vegetation size, the patient still suffered a major cerebral embolic event early after hospital discharge.
Barbetseas
John
J
Department of Cardiology, University of Athens, Hippokration Hospital, Athens, Greece. jbvn@otenet.gr
Vyssoulis
Gregory
G
Lambrou
Spyros
S
Voussouras
Petros
P
Marinakis
Nicholas
N
Toutouzas
Pavlos
P
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000382:microbiology; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005839:Gentamicins / Q000627:therapeutic use; D006350:Heart Valve Prosthesis / Q000382:microbiology; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology*; D008297:Male; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000188:drug therapy; D020521:Stroke / Q000209:etiology*
D000900:Anti-Bacterial Agents; D005839:Gentamicins