title: Simultaneous mitral valve and lung surgery for complicated endocarditis.
abstract: A 48-year-old man developed severe sepsis after a chest trauma. The patient suffered from presternal and cervical abscesses, mediastinitis, septic arthritis of the right shoulder, abscesses in the right lung lower lobe and severe infective endocarditis of the mitral valve. After subcutaneous and mediastinal abscess-drainage, hemodynamic stabilization, and control of sepsis, biological mitral valve replacement and concomitant resection of the right lower lobe were performed. Restoration of the shoulder could be performed 22 days later. The patient was discharged after 4 weeks and is well 1 year after surgery.
authors.affiliation: University Clinic of Cardiac Surgery, Innsbruck Medical University, A-6020 Innsbruck, Austria. dominik.wiedemann@i-med.ac.at
authors.forename: Dominik
authors.initials: D
authors.lastname: Wiedemann
authors.forename: Corinna
authors.initials: C
authors.lastname: Velik-Salchner
authors.forename: Günther
authors.initials: G
authors.lastname: Laufer
authors.forename: Ludwig
authors.initials: L
authors.lastname: Müller
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002315:Cardiopulmonary Bypass; D004322:Drainage; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D011013:Pneumonectomy; D018805:Sepsis / Q000382:microbiology / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013898:Thoracic Injuries / Q000150:complications / Q000628:therapy; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents