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Sinan A. Simsir
Robert A. Lancey
Thomas J. Vander Salm
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Ann Thorac Surg 2003;75:1635-1637
© 2003 The Society of Thoracic Surgeons

Case report

Staged laparoscopic splenectomy and valve replacement in splenic abscess and infective endocarditis

Sinan A. Simsir, MDa, Sarah H. Cheeseman, MDb, Robert A. Lancey, MDc, Thomas J. Vander Salm, MDd, James S. Gammie, MDe*

a Division of Cardiac Surgery, Department of Surgery, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts, USA,
b Division of Infectious Diseases, Department of Medicine, University of Massachusetts Medical School, UMass Memorial Healthcare, Worcester, Massachusetts, USA
c Cardiac Surgery, Mary Imogene Bassett Hospital, Cooperstown, New York, USA
d Cardiac Surgery, Saint Vincent’s Hospital at Worcester Medical Center, Worcester, Massachusetts, USA
e Division of Cardiac Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA

Accepted for publication November 1, 2002.

* Address reprint requests to Dr Gammie, Division of Cardiac Surgery, Department of Surgery, University of Maryland Medical Center N4W94, 22 South Greene St, Baltimore, MD 21201, USA
e-mail: jgammie{at}smail.umaryland.edu

Splenic abscess is a rare clinical entity that is most commonly associated with infective endocarditis. Valve replacement in the setting of an unaddressed splenic abscess is associated with a high incidence of prosthetic valve infection and death. We describe 2 patients with infective endocarditis and splenic abscess treated by laparoscopic splenectomy followed by valve replacement.




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