[HSF] IE
erdinç naseri
enaseri at hotmail.com.tr
Sat Mar 17 13:15:46 EDT 2007
Ahmet,
This man is not a drug addict just a homeless man.
erdinc
>From: "A" <alsadd at ksu.edu.sa>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: <OpenHeart-L at lists.hsforum.com>
>Subject: RE: [HSF] IE
>Date: Sat, 17 Mar 2007 15:08:43 -0800
>
>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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