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Soon Park
Alvaro Montoya
Niberto Moreno
John F. Moran
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Ann Thorac Surg 1993;56:1161-1162
© 1993 The Society of Thoracic Surgeons

Articles

Infective aortic endocarditis after percutaneous balloon aortic valvuloplasty

Soon Park, MD, Alvaro Montoya, MD*, Niberto Moreno, MD, John F. Moran, MD, William Jacobs, MD, Roque Piferre, MD

Department of Thoracic and Cardiovascular Surgery and Section of Cardiology, Loyola University Medical Center, Maywood, Illinois USA

Accepted for publication January 22, 1993.

* Address reprint requests to Dr Montoya, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153.

Infective aortic endocarditis developed in an elderly patient after a percutaneous balloon aortic valvuloplasty. The transesophageal echocardiogram demontrated a perivalvular abscess. The patient underwent surgical replacement of the infected valve, but later succumbed to renal failure. The development of infective aortic endocarditis should be recognized as a potentially fatal complication of percutaneous balloon aortic valvuloplasty. The important measures in preventing bacteremia during percutaneous balloon aortic valvuloplasty and the appropriate role of operation are discussed.




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