PSEUDOMONAS PULMONARY-ARTERY GRAFT ENDOCARDITIS IN HETEROTOPIC HEART-TRANSPLANT - CASE PRESENTATION AND LITERATURE-REVIEW

被引：0

作者：

GRINSTEAD, WC ^{[1
]}

NOON, GP ^{[1
]}

SEKELA, ME ^{[1
]}

SAMO, T ^{[1
]}

VERANI, MS ^{[1
]}

HAYS, J ^{[1
]}

YOUNG, JB ^{[1
]}

机构：

[1] METHODIST HOSP,DEPT SURG,HOUSTON,TX 77030

来源：

CLINICAL TRANSPLANTATION | 1992年 / 6卷 / 04期

关键词：

HEART TRANSPLANTATION; PSEUDOMONAS; ENDOCARDITIS;

D O I：

暂无

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A heterotopic heart transplant patient developed Pseudomonas aeruginosa infection 3 days after transplantation. Pseudomonas infections recurred 4 and 8 months later. During the second recurrence a new systolic murmur was noted. An indium-111 white blood cell scan showed abundant uptake in the location of the prosthetic pulmonary artery graft and angiography revealed a mobile filling defect near the anastomosis of the graft and the native pulmonary artery. The grossly infected graft was surgically replaced without the need for cardiopulmonary bypass. Cultures from the graft's partially dissected pseudointima grew Pseudomonas aeruginosa. The patient remained free of recurrent Pseudomonas infection 12 months after graft replacement. Timely recognition of this previously unreported complication of heterotopic heart transplantation allowed surgical cure of this potentially devastating infection.

引用

页码：301 / 305

页数：5