Pulmonary vegetectomy combined with long-term antibiotics may serve as an alternative to valve replacement for isolated pulmonic valve endocarditis following liver transplantation.
May support vegetectomy as valve-sparing option in post-transplant pulmonic endocarditis; hypothesis-generating and needs prospective validation.
Infective endocarditis is a rare complication affecting solid-organ transplant recipients. Isolated pulmonic valve endocarditis is also rare. A case of persistent bacteremia secondary to an isolated pulmonic valve vegetation occurred in a woman 10 days after liver transplantation. A pulmonary vegetectomy was performed as an alternative to valve replacement in addition to long-term antibiotic therapy.
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Hearn et al. (1999) studied this question.
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