A case of active infective endocarditis in the remission phase of virus-associated hemophagocytic syndrome

I. Arioka, H. Maeta, A. Takazawa, T. Ukawa, K. Mizoguchi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We successfully treated a case of active infective endocarditis in the remission phase of virus-associated hemophagocytic syndrome (VAHS). A 21-year-old man was admitted to our hospital for fever, arthralgia, and general fatigue. His blood cultures revealed staphylococcus epidermidis. He underwent urgent aortic valve replacement and closure of the abscess cavity because of an ineffective antibiotic therapy and a progressive left heart failure. Operative findings showed about 100 ml bloody pericardial effusion, fresh vegetation on the aortic left coronary and non-coronary leaflets, and aortic root abscess just below the left coronary ostium. The aortic root abscess extended to the left ventricular wall between the base of left atrial appendage and the base of main pulmonary artery and was in the state of impending rupture. The left main coronary artery was fully exposed after debridement in the abscess cavity. It was thought that left atrial appendage as a pedicle was useful for filling up the abscess cavity to protect infection.

Original languageEnglish
Pages (from-to)570-574
Number of pages5
JournalJapanese Journal of Thoracic and Cardiovascular Surgery
Volume46
Issue number6
Publication statusPublished - Jun 1998
Externally publishedYes

Fingerprint

Hemophagocytic Lymphohistiocytosis
Endocarditis
Abscess
Viruses
Atrial Appendage
Staphylococcus epidermidis
Pericardial Effusion
Arthralgia
Debridement
Aortic Valve
Pulmonary Artery
Fatigue
Rupture
Coronary Vessels
Fever
Heart Failure
Anti-Bacterial Agents
Infection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

A case of active infective endocarditis in the remission phase of virus-associated hemophagocytic syndrome. / Arioka, I.; Maeta, H.; Takazawa, A.; Ukawa, T.; Mizoguchi, K.

In: Japanese Journal of Thoracic and Cardiovascular Surgery, Vol. 46, No. 6, 06.1998, p. 570-574.

Research output: Contribution to journalArticle

Arioka, I. ; Maeta, H. ; Takazawa, A. ; Ukawa, T. ; Mizoguchi, K. / A case of active infective endocarditis in the remission phase of virus-associated hemophagocytic syndrome. In: Japanese Journal of Thoracic and Cardiovascular Surgery. 1998 ; Vol. 46, No. 6. pp. 570-574.
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