We present a case of a 51-year-old male @entity1 hospitalized due to @entity1187 requiring stent implantation to the left main stem. Double antiplatelet therapy was commenced. After 2-3 days, the @entity1 presented with high fever, @entity1353 on exertion, @entity158 in the chest, @entity925 , and general weakness. Transthoracic (TTE) and transesophageal (TEE) echocardiography revealed abnormal, turbulent flow across the aortic prosthesis, which was probably caused by the presence of a pathological smooth and mobile structure (10 * 9 * 5 mm) in front of the aortic annulus. Blood cultures were positive and staphylococcal @entity340 ( @entity340 ) was diagnosed. Despite antibiotic treatment, the @entity1 's condition deteriorated, and he was referred for prosthesis reimplantation. After being transferred to the Cardiac Surgery Clinic, he presented with @entity390 , @entity391 , and @entity490 . The results of imaging examinations suggested @entity1410 . The @entity1 underwent an urgent splenectomy. Histopathological examination revealed a @entity1188 consequent to an embolic event and subscapular @entity1410 . On the 10(th) day after the laparotomy, cardiac surgery was performed. No large vegetations were found on the aortic prosthesis. The mechanical valve, implanted 20 years earlier, was functioning properly; it was intact and well healed. Several fragments of a @entity715 and fibrous tissue, resembling a @entity2070 and covered with minor calcifications, were removed from the ventricular surface of the discs. A decision was reached to leave the aortic prosthesis in situ. The valvular material culture revealed the presence of Streptococcus anginosus, and the antibiotic scheme was modified. The postoperative period was uneventful.

Urgent splenectomy in the course of XXXX .

@entity1 :: ('9606', 'Species') :: ['patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndrome'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity391 :: ('MESH:D014839', 'Disease') :: ['vomiting'] @entity2070 :: ('MESH:C537858', 'Disease') :: ['pannus'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['spleen hematoma', 'hematoma'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['spleen infarction'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus'] @entity340 :: ('MESH:D006349', 'Disease') :: ['prosthetic valve endocarditis', 'PVE'] @entity925 :: ('MESH:D063806', 'Disease') :: ['myalgia']
@entity340 :: (MESH:D006349,Disease) :: ['prosthetic valve endocarditis']
