AI Article Synopsis
- - A 50-year-old man with a history of double prosthetic valves and uncontrolled diabetes presented with symptoms of a cerebellar stroke, likely due to embolism from prosthetic valve endocarditis (PVE).
- - Diagnosis was complicated and required transesophageal echocardiography (TEE), revealing vegetations on the mitral valve prosthesis; the patient was started on antifungal therapy but faced financial barriers to surgery.
- - Due to persistent infection, the AngioVac system was considered for vegetative aspiration, but ultimately, the patient was discharged with a long-term plan for suppressive antifungal treatment instead of surgery.
Article Abstract
Embolic stroke due to prosthetic valve endocarditis (PVE) caused by is a rare and serious complication. Successful management requires a combination of medical and surgical approaches. We present a case full of complexities in diagnosing and managing PVE, emphasizing the importance of a multidisciplinary approach. A 50 year-old male presented to the emergency department with vertigo and low-grade fever and was found to have cerebellar stroke likely from the cardioembolic origin, and the patient had a history of uncontrolled diabetes and double prosthetic valves. The diagnosis was challenging and required transesophageal echocardiography (TEE) which showed two vegetations attached to the mitral valve prosthesis. The management involved antifungal therapy, but surgery was hindered by financial issues. The patient was considered for the AngioVac vegetation aspiration system due to persistent fungemia. Eventually, surgery was not performed, and the patient was discharged with a plan for long-term suppressive antifungal therapy.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568888 | PMC |
| http://dx.doi.org/10.1155/2024/5581547 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effect of Ankle-Foot Orthosis on Paretic Gastrocnemius and Tibialis Anterior Muscle Contraction of Stroke Survivors During Walking: A Pilot Study.
Biosensors (Basel)
December 2024
Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Ankle-foot orthoses (AFOs) have been commonly prescribed for stroke survivors with foot drop, but their impact on the contractions of paretic tibialis anterior (TA) and medial gastrocnemius (MG) has remained inconclusive. This study thus investigated the effect of AFOs on these muscle contractions in stroke survivors. The contractions of paretic TA and MG muscles were assessed in twenty stroke patients and compared between walking with and without AFOs, using a novel wearable dynamic ultrasound imaging and sensing system.
View Article and Find Full Text PDFElevated Risk of Medical and Implant-Related Complications in Patients with Hypothyroidism After Total Shoulder Arthroplasty: A 1:1 Propensity Matched Cohort Analysis.
J Shoulder Elbow Surg
December 2024
Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, PA.
Background: There is currently limited work that evaluates the effect of co-morbid hypothyroidism on complications and outcomes following total shoulder arthroplasty (TSA). This study aims to evaluate the impact of hypothyroidism on 90-day medical complications as well as 2-year implant related complications and revision rates following TSA.
Methods: This retrospective database analysis evaluated patients who underwent TSA between October 1, 2015, and March 9, 2022.
Delayed coronary air embolism post re-do mitral valve replacement: A case report.
ARYA Atheroscler
January 2024
Townsville University Hospital, Townsville, Queensland Australia.
Background: Coronary air embolism (CAE) is a complication that can lead to catastrophic outcomes, including myocardial infarction, stroke, and death. It is reported to occur during cardiac catheterization, within a few hours after cardiac surgery, or as a result of chest trauma. This is a case report of delayed coronary air embolism following cardiac surgery.
View Article and Find Full Text PDFYearly Trends and In-Hospital Outcomes of Patients Undergoing Transcatheter Mitral Valve-In-Valve Replacement in Prosthetic Valve Dysfunction.
Catheter Cardiovasc Interv
December 2024
Division of Cardiology, Rush University Medical Center, Chicago, Illinois, USA.
Introduction: Transcatheter mitral valve-in-valve replacement (TMVR ViV) is becoming a favorable, less invasive procedure among high-risk patients to manage mitral valve dysfunction. We aimed to investigate the trends of the predictors and outcomes of the procedure.
Methods: The national inpatient sample databases of 2016-2020 were analyzed using STATA 17 software and ICD-10 codes for TMVR ViV, with stratification for mitral stenosis (MS) or Mitral regurgitation (MR) as etiology for prosthetic valve dysfunction.
Effect of visual biofeedback on fine motor function and activity daily of life in stroke patients: A pilot study.
J Bodyw Mov Ther
March 2025
Physiotherapy Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Introduction: Many stroke patients suffer from dysfunction in their upper limbs, which can lead to difficulties in performing activities of daily living (ADL) as well as social and work interactions. This is particularly true for patients whose dominant side has been affected. The aim of the current study was to explore how effective visual biofeedback could improve fine motor function in the hand and ADL for people suffering from a stroke.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!