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Ann Thorac Surg 2000;70:283-285
© 2000 The Society of Thoracic Surgeons

Case report

Possible relationship between degenerative cardiac valvular pathology and Lyme disease

Charles C. Canver, MDa, Jyotirmay Chanda, MD, PhDa, David M. DeBellis, MDa, John M. Kelley, MDa

a Division of Cardiothoracic Surgery, Albany Medical College, Albany, New York, USA

Address reprint requests to Dr Canver, Division of Cardiothoracic Surgery, Albany Medical College, 47 New Scotland Ave, Mail Code 55, Albany, NY 12208
e-mail: canverc{at}mail.amc.edu

We report an unusual clinical presentation of Lyme carditis in a previously healthy 20-year-old black woman without any epidemiologic history of Lyme disease, fulminant in nature, involving a heart valve necessitating emergent mitral valve replacement, and requiring further surgical intervention because of the development of pericardial effusion and tamponade. A dilated right ventricle with normal contractility and severe tricuspid regurgitation with increase in the right atrial size diagnosed later remains under close surveillance.






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