Aortic Pericardial Heterograft Obstruction from Endocarditis
Authors: WILFRED LAM
Journal: Annals of Internal Medicine (1982)

Brief Reports1 March 1982Aortic Pericardial Heterograft Obstruction from EndocarditisWILFRED LAM, M. D., STEVEN HESS, M.D., FRIEDRICH ECKNER, M.D., SIDNEY LEVITSKY, M.D.WILFRED LAM, M. D.Search for more papers by this author, STEVEN HESS, M.D.Search for more papers by this author, FRIEDRICH ECKNER, M.D.Search for more papers by this author, SIDNEY LEVITSKY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-96-3-335 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe usual hemodynamic consequence of bacterial endocarditis is valvular regurgitation. The development of valvular stenosis from endocarditis on native valves has been rarely reported (1, 2). Findings of a pathologic study by Ferrans and associates (3) of porcine heterograft endocarditis have suggested that prosthetic valve stenosis caused by infected vegetations may be relatively common. Clinical hemodynamic obstruction without valvular regurgitation has not been documented with tissue valve endocarditis and has never been reported with pericardial heterograft endocarditis. We report a case of bovine pericardial heterograft endocarditis leading to severe valvular obstruction with no regurgitation.A 31-year-old male drug addict with...References1. ROBERTSEWYGLANCYMARCUS WGDF. Valvular stenosis produced by active infective endocarditis. Circulation. 1967;36:449-55. CrossrefMedlineGoogle Scholar2. COPELANDSALOMANSTINSONPOPPSHUMWAY JNERN. Acute mitral valvular obstruction from infective endocarditis. J Thorac Cardiovasc Surg. 1979;78:128-30. CrossrefMedlineGoogle Scholar3. FERRANSBOYCEBELLINGHAMSPRAYROBERTS VSMTW. Infection of glutaraldehyde-preserved porcine valve heterografts. Am J Cardiol. 1979;43:1123-36. CrossrefMedlineGoogle Scholar4. IONESCUABIDWOOLER MAG. Experience with tissue heart valves. In: BORMAN JB, ed. Recent Trends in Cardiovascular and Thoracic Surgery. New York: Grune & Stratton; 1975:105-16. CrossrefGoogle Scholar5. BECKERSTROMFRISHMAN RJW. Hemodynamic performance of the Ionescu-Shiley valve prosthesis. J Thorac Cardiovasc Surg. 1980;80:613-20. CrossrefMedlineGoogle Scholar6. YARBROUGHROBERTSREIS JWR. Structural alterations in tissue cardiac valves implanted in patients and calves. J Thorac Cardiovasc Surg. 1973;65:364-75. CrossrefMedlineGoogle Scholar7. FORFARCOTTERMORRITT JLG. Severe and early stenosis of porcine heterograft mitral valve. Br Heart J. 1978;40:1184-7. CrossrefMedlineGoogle Scholar8. FISHBEINGISSENCOLLINSBARSAMIANCOHN MSJEL. Pathologic findings after cardiac valve replacement with glutaraldehyde-fixed porcine valves. Am J Cardiol. 1977;40:331-7. CrossrefMedlineGoogle Scholar9. MAGILLIGANQUINNDAVILA DEJ. Bacteremia, endocarditis and the Hancock valve. Ann Thorac Surg. 1977;24:508-18. CrossrefMedlineGoogle Scholar10. ROSSITERSTINSONOYER SEP. Prosthetic valve endocarditis: comparison of heterograft tissue valves and mechanical valves. J Thorac Cardiovasc Surg. 1978;76:795-803. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Abraham Lincoln School of Medicine University of Illinois College of Medicine Chicago, Illinois PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 March 1982Volume 96, Issue 3Page: 335-336KeywordsAddictsEndocarditisHemodynamicsInterleukinsProsthetic device infectionsResearch grantsStenosis Issue Published: 1 March 1982 PDF downloadLoading ...