title: Mitral valve repair via right thoracotomy for multidrug resistant pseudomonal endocarditis in a burn patient: case report and review of the literature.
abstract: Diagnosis and management of infectious endocarditis are particularly challenging in patients with severe burns. Cases requiring operative intervention are likely to have higher complication rates as a result of poor wound healing, recurrent bacteremia secondary to burn wound manipulation, and sequelae of anticoagulation in patients who require repeated reconstructive and cosmetic procedures. Few case reports exist describing mitral valve replacement for infectious endocarditis in burn patients. In this article, we review the literature to describe and address these challenges, and present what we believe to be the first case of mitral valve repair for infectious endocarditis in a thermally injured patient.
authors.affiliation: Massachusetts General Hospital, Department of Surgery, Harvard Medical School, 55 Fruit Street, GRB 425, Boston, MA 02114, United States. Electronic address: Mohebali.Jahan@mgh.harvard.edu.
authors.forename: Jahan
authors.initials: J
authors.lastname: Mohebali
authors.affiliation: Massachusetts General Hospital, Divison of Burn Surgery, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, United States.
authors.forename: Amir E
authors.initials: AE
authors.lastname: Ibrahim
authors.affiliation: Massachusetts General Hospital, Division of Cardiac Surgery, Harvard Medical School, 55 Fruit Street, Cox 650, Boston, MA 02114, United States. Electronic address: Macgillivray.Thomas@mgh.harvard.edu.
authors.forename: Thomas E
authors.initials: TE
authors.lastname: MacGillivray
authors.affiliation: Massachusetts General Hospital, Divison of Burn Surgery, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, United States. Electronic address: JGOVERMAN@mgh.harvard.edu.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Goverman
authors.affiliation: Massachusetts General Hospital, Divison of Burn Surgery, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, United States. Electronic address: SFAGAN2@mgh.harvard.edu.
authors.forename: Shawn P
authors.initials: SP
authors.lastname: Fagan
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002056:Burns / Q000150:complications / Q000628:therapy*; D024901:Drug Resistance, Multiple, Bacterial; D004697:Endocarditis, Bacterial / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D011552:Pseudomonas Infections / Q000150:complications / Q000628:therapy*; D013908:Thoracotomy / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents
keywords: Burn; Endocarditis; Mitral valve repair; Thermal injury