[HSF] IE

[A]

I am glad for you good job. Just wait for few months he will come back with
the same as I understand He is a drug addict.
I think De Vega is a good repair provided it is rightly done. I am sure that
Hal would put me in his .... list. 

Ahmed


-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of
tdmartin2000 at aol.com
Sent: Saturday, March 17, 2007 3:40 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] IE

Staph aureus prosthetic endocarditis is not a medically manageable problem.
Congratulations on at least a live patient.
 
Tom Martin
U of Florida
Gainesville 
 
-----Original Message-----
From: enaseri at hotmail.com.tr
To: OpenHeart-L at lists.hsforum.com
Sent: Fri, 16 Mar 2007 7:20 AM
Subject: [HSF] IE


Would like forum's opinion ( retrospectively): 
35 y/o male,4 years ago MVR,2 months ago diagnosed as S.aureus IE(
vegetations on TEE) and treated medically and dissmissed as cured( another
center). admitted to our center 2 weeks ago in HF and rapidly decompensated
and intubated.TEE probe out of use ( broken), TTE showed AI+TI both severe
Prosthhetic mitral ?,no fever no organism on blood culture ,High hepatic
enzymes ,good renal function.Had multiple toe infartcts,splenic infarct on
CT,2 mid size brain infarcts ( neurologists said would recover).I saw the
patint inICU incidentally yesterday morning.Unconscious on dormicum and
fentanyl(slight eye brow movement on painful stimuli)Cardiologist idea was
that this was not recurrent IE but I thought that was obvious.( disscussions
of minor and major criteria and that the patient did not fit in them).On
evening while leaving the hospital I observed that the patient was
anuric.Talked to cardiologists and took the patient to OR. 
OP:Quadricusp aortic valve with complete dehiscence of the RCC, Huge
vegetation on mitral prosthesis and severe TI.No need to cut the sutures of
Prosthesis .Just took the ring and with mild traction it was dehisced from
the annulus half the way to posterior rim bilaterally.Agressive debriment of
annulus and AVR + Re MVR+ DeVega. 
Today stable hemodynamically and started opening eyes 
erdinc 
 
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