What question did this study set out to answer?

To report the clinical features, management approaches, and outcomes of post-surgical nocardial infections following aortic valve replacement.

January 1, 1988Scandinavian Journal of Thoracic and Cardiovascular Surgery

Nocardial endocarditis after aortic valve replacement: Reports of Two Cases

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Authors

PEP. EigelKlinikum Passau OEO. ElertUniversity of Würzburg HHH. HöppUniversity of Würzburg

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Implication

Case report reveals fatal relapse without aggressive debridement in post-aortic valve replacement nocardial sepsis, suggesting radical surgical revision is necessary for lasting cure.

Key Points

To report the clinical features, management approaches, and outcomes of post-surgical nocardial infections following aortic valve replacement.
Clinical evaluation of two patients who developed nocardial sepsis following aortic valve replacement.
Comparison of radical surgical management (aneurysm resection and prosthesis exchange) versus conservative treatment (medical therapy for sternal osteomyelitis and mediastinitis).
In one patient, surgical resection of an aortotomy septic suture aneurysm combined with prosthesis exchange achieved definitive infection clearance.
In the second patient, conservative management resulted in an initial clinical cure followed by relapse and fatal cerebral infarction, with autopsy confirming a persistent septic suture aneurysm.

Cite This Study

Eigel et al. (1988) studied this question.

synapsesocial.com/papers/6a72d8a4c8eae153100872f1 https://doi.org/10.3109/14017438809106078

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Implication

Case report reveals fatal relapse without aggressive debridement in post-aortic valve replacement nocardial sepsis, suggesting radical surgical revision is necessary for lasting cure.

Nocardial endocarditis after aortic valve replacement: Reports of Two Cases

Discussion

Member takes

Implication

Key Points

Cite This Study

Nocardial endocarditis after aortic valve replacement: Reports of Two Cases

Discussion

Member takes

Implication

Key Points

Cite This Study

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