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J Thorac Cardiovasc Surg 2003;125:196-197
© 2003 The American Association for Thoracic Surgery

Brief Communications

Brucella melitensis endocarditis of ventricular septal defect patch: Successful surgical treatment without replacement

Ugursay Kiziltepe, MDa, Adnan Uysalel, MDa, Ercan Tutar, MDb, Hakki Akalin, MDa Ankara, Turkey

From the Departments of Cardiovascular Surgery, Cardiac Center,a and Pediatric Cardiology,b Ankara School of Medicine, Ankara, Turkey.

Received for publication March 1, 2002. Accepted for publication April 2, 2002. Address for reprints: Ugursay Kiziltepe, MD, Sokollu Cad. Nakis Sok., 8/14 Dikmen, Ankara 06460, Turkey (E-mail: uk9316@hotmail.com).

The first 20% of the full text of this article appears below.

Brucella melitensis endocarditis is a rare but fatal complication of brucellosis. It is usually located on native and prosthetic valves.Go 1 Endocarditis of a prosthetic ventricular septal defect (VSD) patch is rare. Only one case of treatment by means of replacement of the prosthetic patch and antibiotic administration has been reported.Go 2 When present, removal and replacement of the infected tissue or prosthetic material has been recommended in addition to long-term antibiotic treatment to achieve a cure.Go Go 3,4 Replacement of the prosthetic patch might not always be necessary, as was the case in our experience.

Clinical summary

A 12-year-old boy with cyanosis and growth retardation was given a diagnosis of tetralogy of Fallot. He underwent a successful total correction operation with Dacron patch repair of a VSD with interrupted pledgeted sutures and transannular Dacron patch right ventricular outflow tract reconstruction. The early postoperative period was uneventful, and no residual VSD was found at early postoperative echocardiography. He was discharged to home, but 2 weeks . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Clinical Infectious DiseasesHome page
A. Dhand and J. J. Ross
Implantable Cardioverter-Defibrillator Infection Due to Brucella melitensis: Case Report and Review of Brucellosis of Cardiac Devices
Clinical Infectious Diseases, February 15, 2007; 44(4): e37 - e39.
[Abstract] [Full Text] [PDF]


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