Staged laparoscopic splenectomy and valve replacement in splenic abscess and infective endocarditis.
Splenic abscess is a rare clinical entity that is most commonly associated with infective endocarditis. Valve replacement in the setting of an unaddressed splenic abscess is associated with a high incidence of prosthetic valve infection and death. We describe 2 patients with infective endocarditis and splenic abscess treated by laparoscopic splenectomy followed by valve replacement.
Division of Cardiac Surgery, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts, USA.
Sinan A
SA
Simsir
Sarah H
SH
Cheeseman
Robert A
RA
Lancey
Thomas J
TJ
Vander Salm
James S
JS
Gammie
D000038:Abscess / Q000150:complications / Q000601:surgery*; D000328:Adult; D000368:Aged; D004697:Endocarditis, Bacterial / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013156:Splenectomy; D013158:Splenic Diseases / Q000150:complications / Q000601:surgery*