title: Emergency cardiac double valve surgery in active infective endocarditis due to Acinetobacter baumannii with aortic root abscess in a patient with dialysis-dependent end-stage renal failure: a rare case report.
abstract: We report an end-stage renal disease (ESRD) patient on regular haemodialysis awaiting renal transplant having native aortic valve endocarditis due to Acinetobacter baumannii complicated with aortic root abscess and severe mitral valve regurgitation with NYHA class IV symptoms. He underwent emergency aortic root abscess debridement, reconstruction with autologous pericardial patch and bioprosthetic aortic valve replacement along with mitral valve repair. This emergency intervention in active infective endocarditis due to A. baumannii and associated ESRD is very rare. We could not trace any case report for such combination of clinical scenario in the literature.
authors.affiliation: Department of Cardiothoracic & Vascular Surgery, Lakeshore Hospital and Research Centre, Kochi, Kerala, India doctormoosa@yahoo.com.
authors.forename: Moosa
authors.initials: M
authors.lastname: Kunhi
authors.affiliation: Department of Cardiothoracic & Vascular Surgery, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Sanagar
authors.affiliation: Department of Cardiac Anaesthesia, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors.forename: N
authors.initials: N
authors.lastname: Jagadeesh
authors.affiliation: Department of Cardiology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors.forename: Bhima
authors.initials: B
authors.lastname: Shankar
authors.affiliation: Department of Nephrology, Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
authors.forename: Abi
authors.initials: A
authors.lastname: Abraham