title: Aortic valve endocarditis in a transplanted heart after urethral instrumentation.
abstract: Endocarditis represents a rare but life-threatening condition after heart transplantation. Recent American Heart Association guidelines recognize cardiac transplant patients with valvulopathy as high risk for endocarditis, but acknowledge that there were not sufficient data to make a recommendation for prophylaxis. Also, genitourinary procedures were no longer considered a risk factor for endocarditis in the most recent guidelines. We present a patient who acquired aortic valve endocarditis of the intact valve, after multiple urethral instrumentation 2 years after heart transplantation, who was successfully treated by aortic valve replacement and prolonged antibiotic therapy.
authors.affiliation: Department of Cardiac and Transplant Surgery, Dubrava University Hospital, Zagreb, Croatia. dunic@kbd.hr
authors.forename: Daniel
authors.initials: D
authors.lastname: Unic
authors.forename: Boris
authors.initials: B
authors.lastname: Starcevic
authors.forename: Mario
authors.initials: M
authors.lastname: Sicaja
authors.forename: Davor
authors.initials: D
authors.lastname: Baric
authors.forename: Igor
authors.initials: I
authors.lastname: Rudez
authors.forename: Stanko
authors.initials: S
authors.lastname: Biocic
authors.forename: Josip
authors.initials: J
authors.lastname: Varvodic
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Sutlic
mesh_terms: D019072:Antibiotic Prophylaxis; D001021:Aortic Valve / Q000382:microbiology / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013293:Enterococcus faecalis / Q000302:isolation & purification*; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy; D006333:Heart Failure / Q000175:diagnosis / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000175:diagnosis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects* / Q000379:methods
keywords: 34