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Brain vs Heart: Prioritizing Treatment in Left-Side Infective Endocarditis With Neurologic Complications.
JACC Case Rep
November 2024
Department of Cardiothoracic Surgery, School for Cardiovascular Disease, Maastricht University, Maastricht, the Netherlands.
A paradigmatic case is presented of subarachnoid hemorrhage as the initial sign of bacterial endocarditis on a mechanical cardiac prosthesis, in the absence of symptoms and echocardiographic evidence of infective endocarditis and vegetation. The presentation emphasizes the need to pursue a diagnostic workup for bacterial endocarditis whenever a patient with a mechanical prosthesis presents to the emergency department with focal neurologic signs. In addition, it highlights the potential use of second-level diagnostic tools to assess the extent of abscess presence and lesion extension to other cardiac structures for proper surgical planning.
View Article and Find Full Text PDFSafety and Feasibility of Pulsed Field Ablation in Patients With Mechanical Prosthetic Valves.
JACC Clin Electrophysiol
November 2024
Heart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.
Article Synopsis
- Pulsed field ablation (PFA) is a new technique for heart tissue treatment that targets heart cells directly without damaging nearby tissues, but using it with mechanical heart valves can be tricky due to potential interference.* -
- This study involved 30 patients with mechanical heart valves undergoing PFA for atrial fibrillation, and it found no major complications, with normal valve function post-procedure.* -
- While PFA seems safe for patients with mechanical valves, careful management of the catheter is crucial to prevent electromagnetic interference that could affect the treatment.*
Burkholderia cepacia Infective Endocarditis of Native Aortic Valve: A Case Report and Review of Literature.
Cureus
October 2024
Department of Cardiothoracic Surgery, Faculty of Medicine, Mansoura University, Mansoura, EGY.
Infective endocarditis (IE) is a serious cardiac infection of the endocardium, native and prosthetic valves, or cardiac device. In this case study, we report a case of an immunocompetent patient with severe aortic valve endocarditis. A 54-year-old female presented to the emergency department with progressive shortness of breath, chest pain, palpitations, and cough for a period of 20 days.
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