title: A case of pulmonary infective endarteritis associated with patent ductus arteriosus: surgical closure under circulatory arrest.
abstract: A 35-year-old man was admitted to the hospital with prolonged high-grade fever. Chest computed tomography revealed multiple pulmonary infiltrations in both lungs, suggesting septic emboli. Echocardiography revealed patent ductus arteriosus and mobile large vegetations in the pulmonary artery. Because of uncontrollable infection and the imminent possibility of massive pulmonary embolism, he underwent transpulmonary surgical closure of the ductus and resection of the vegetations under hypothermic circulatory arrest using cardiopulmonary bypass. We report a rare case of open heart surgery in a patient with pulmonary infective endarteritis associated with patent ductus arteriosus.
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki, Japan. smatsu@nagasaki-u.ac.jp
authors.forename: Seiji
authors.initials: S
authors.lastname: Matsukuma
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
authors.forename: Kouji
authors.initials: K
authors.lastname: Hashizume
authors.forename: Takashi
authors.initials: T
authors.lastname: Oshitomi
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Ariyoshi
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Taniguchi
authors.forename: Kazuki
authors.initials: K
authors.lastname: Hisatomi
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004692:Endarteritis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008826:Microbial Sensitivity Tests; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents