title: Pulmonary homograft endocarditis 19 years after a Ross procedure.
abstract: We report the case of a patient with acute pulmonary homograft endocarditis secondary to Streptococcus agalactiae from a cat-bite. He had undergone a Ross procedure nineteen years earlier. In view of unremitting infection with large pulmonary trunk and right pulmonary artery vegetations, the patient underwent successful pulmonary vegetectomy and homograft replacement.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Brompton Hospital, London, United Kingdom. ashrafian@email.com
authors.forename: H
authors.initials: H
authors.lastname: Ashrafian
authors.forename: M
authors.initials: M
authors.lastname: Griselli
authors.forename: M B
authors.initials: MB
authors.lastname: Rubens
authors.forename: M J
authors.initials: MJ
authors.lastname: Mullen
authors.forename: B
authors.initials: B
authors.lastname: Sethia
mesh_terms: D000328:Adult; D000818:Animals; D001733:Bites and Stings / Q000150:complications* / Q000382:microbiology; D002415:Cats; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011666:Pulmonary Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D013290:Streptococcal Infections / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous