Staged laparoscopic splenectomy and valve replacement in splenic abscess and infective endocarditis.

Ann Thorac Surg

Division of Cardiac Surgery, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts, USA.

Published: May 2003

AI Article Synopsis

  • Splenic abscess is a rare condition often linked to infective endocarditis, a heart infection that can lead to serious complications.
  • Performing valve replacement surgery without treating a splenic abscess first increases the risk of prosthetic valve infections and can significantly raise the chances of death.
  • The text discusses two cases where patients with both infective endocarditis and splenic abscess underwent laparoscopic splenectomy (removal of the spleen) followed by valve replacement to improve their outcomes.

Article Abstract

Splenic abscess is a rare clinical entity that is most commonly associated with infective endocarditis. Valve replacement in the setting of an unaddressed splenic abscess is associated with a high incidence of prosthetic valve infection and death. We describe 2 patients with infective endocarditis and splenic abscess treated by laparoscopic splenectomy followed by valve replacement.

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Source
http://dx.doi.org/10.1016/s0003-4975(02)04769-0DOI Listing

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