Thorac Cardiovasc Surg. 1988 Aug;36(4):237-8. doi: 10.1055/s-2007-1020087.

Infective endocarditis related to acute cholecystitis.

The Thoracic and cardiovascular surgeon

L A Bortolotto, A J Mansur, M Grinberg, G Bellotti, F Pileggi

PMID: 3187987 DOI: 10.1055/s-2007-1020087

Abstract

A 30-year-old woman with a homologous dura-mater valve prosthesis developed infective endocarditis related to acute purulent cholecystitis occurring in chronic cholelithiasis. During anti-bacterial treatment refractory heart failure ensued which compelled replacement of the infected prosthesis. She died in the post-operative period. Autopsy revealed endocarditis on the implanted bioprosthesis, purulent cholecystitis and a gallbladder stone. It is warningly concluded that the surgical treatment of endocarditis was unsuccessful because of persistence of purulent cholecystitis that led to reinfection of the inserted prosthesis.

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Substances

• Anti-Bacterial Agents

MeSH terms

• Acute Disease
• Adult
• Anti-Bacterial Agents / therapeutic use
• Bioprosthesis
• Cholecystitis / complications
• Cholelithiasis / complications
• Endocarditis, Bacterial / etiology
• Endocarditis, Bacterial / mortality
• Female
• Heart Valve Prosthesis
• Humans
• Reoperation

Publication Types

• Case Reports
• Journal Article

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