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Mario Valenza
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Ann Thorac Surg 1994;58:1768-1769
© 1994 The Society of Thoracic Surgeons

Articles

Heart transplantation for Q fever endocarditis

Carlos Blanche, MD*, Dov Freimark, MD, Mario Valenza, MD, Lawrence S.C. Czer, MD, Alfredo Trento, MD

Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California USA

Accepted for publication April 18, 1994.

* Address reprint requests to Dr Blanche, Heart Transplant Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd. Room 6215, Los Angeles, CA 90048.

A 30-year-old man underwent aortic and mitral valve replacement for the treatment of Q fever endocarditis. Postoperatively, paravalvular leak of the mitral prosthesis, progressive deterioration in cardiac function, and intractable heart failure developed. As a result, the patient underwent orthotopic heart transplantation 15 months after his initial valve operation. The patient is clinically well 14 months after transplantation.




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