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The Annals of Thoracic Surgery, Vol 58, 1768-1769, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Heart transplantation for Q fever endocarditis

C Blanche, D Freimark, M Valenza, LS Czer and A Trento
Department of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California 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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