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Christoph Ochsenfahrt
Reinhard Friedl
Andreas Hannekum
Bernd A. Schumacher
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Ann Thorac Surg 2001;71:1365-1366
© 2001 The Society of Thoracic Surgeons

Case report

Endocarditis after nipple piercing in a patient with a bicuspid aortic valve

Christoph Ochsenfahrt, MDa, Reinhard Friedl, MDa, Andreas Hannekum, MDa, Bernd A. Schumacher, MDa

a Department of Cardiac Surgery, University of Ulm, Ulm, Germany

Accepted for publication May 31, 2000.

Adress reprint requests to Dr Ochsenfahrt, Department of Cardiac Surgery, University of Ulm, Steinhövelstr 9, D-89075 Ulm, Germany
e-mail: christoph.ochsenfahrt{at}medizin.uni-ulm.de

Piercing the skin for cosmetic reasons can be dangerous in young adults who have previously undergone surgery for congenital defects of the heart. We report the case of a 24-year-old man in whom coarctation of the aorta had been corrected 15 years earlier. Two months after piercing his left nipple without antibiotic prophylaxis, he developed a local mastitis, followed by bacterial endocarditits that required replacement of the aortic valve.




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