Purulent pericarditis is an uncommon infection of the pericardial space that can very rarely present as a pericardial abscess. Infection by hematogenous spread in dialysis patients is among the predisposing risk factors that can lead to purulent pericarditis. Herein, we present a pericardial abscess case due to methicillin-resistant (MRSA) infection in a male patient with end-stage renal disease (ESRD) on hemodialysis. The patient has a past surgical history of two prior pericardial effusions due to uremic pericarditis.
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http://dx.doi.org/10.7759/cureus.10411 | DOI Listing |
Aorta (Stamford)
December 2024
Division of Cardiovascular Surgery, Department of Surgery, University of Florida Health, Gainesville, Florida.
A 71-year-old gentleman with prior bioprosthetic aortic valve replacement was admitted with aortic valve dehiscence and an aortic root abscess. He underwent reoperative sternotomy, aortic root, mitral valve, and hemiarch replacement. To augment hemostasis, we implanted the "Martin Mattress"-a pericardial patch sutured to the fibrous ridge within the innominate vein, superior vena cava, right atrium, right ventricular outflow tract, and pulmonary artery-which is preferred to modified Cabrol fistula techniques in infectious root pathology.
View Article and Find Full Text PDFThorac Cardiovasc Surg Rep
January 2024
Department of Cardiovascular Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Surgery for Bentall's endocarditis poses challenges because the infection spreads to the aortic valve annulus, leading to an annular abscess that necessitates reconstruction. We present a straightforward miniskirt Bentall procedure using an annular pericardial patch to treat Bentall's endocarditis with an annular abscess. After removing the former composite graft and debriding the aortic root and annulus, we created a miniskirt-composite graft using a mechanical or bioprosthetic valve, a straight or Valsalva graft, and an annular bovine pericardial patch with a valve prosthetic sizer.
View Article and Find Full Text PDFCureus
September 2024
Internal Medicine, University of California Los Angeles, Los Angeles, USA.
Eur Heart J Case Rep
October 2024
Faculty of Medicine, Ovidius University of Constanta, Campus, University Alley, No 1, Building B, 900470 Constanta, Romania.
Background: Stent fractures are a rare complication of angioplasties and are an unusual substrate for coronary abscesses.
Case Summary: A 63-year-old patient came into the emergency department for ongoing chest pain. The patient had recently undergone coronary stent implantation, 3 months prior.
BMC Pulm Med
October 2024
Department of Respiratory and Critical Care Medicine, Shengli Oilfield Central Hospital, No.31 Jinan Road, Dongying City, 257034, Shandong Province, China.
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