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Swan-Ganz catheter-related pulmonary valve infective endocarditis: a case report.

Abstract
We report the case of a 29-year-old man with decompensated alcoholic cardiomyopathy who developed a Staphylococcal pulmonic valve infective endocarditis during hemodynamic monitoring, as a consequence of catheter-related bacteremia. As experimentally demonstrated, the damaging role of the pulmonary artery catheter on the endocardial surface plays a major role in the pathogenesis of related right-sided infective endocarditis. Occurrence of bacteremia in a catheterized patient should be considered as a high risk situation, and righ-heart infective endocarditis must be suspected whenever patient presents fever or bacteremia without obvious site of infection. Doppler echocardiography is the reference diagnosis procedure.
AuthorsG Bernardin, D Milhaud, P M Roger, G Pouliquen, P Corcelle, M Mattei
JournalIntensive care medicine (Intensive Care Med) Vol. 20 Issue 2 Pg. 142-4 ( 1994) ISSN: 0342-4642 [Print] United States
PMID8201095 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Alcoholism (complications)
  • Bacteremia (etiology)
  • Cardiac Catheterization
  • Cardiomyopathy, Dilated (diagnosis, etiology)
  • Catheterization, Swan-Ganz (adverse effects)
  • Echocardiography
  • Endocarditis, Bacterial (diagnostic imaging, etiology, physiopathology)
  • Heart Failure (diagnosis, etiology)
  • Hemodynamics
  • Humans
  • Male
  • Pulmonary Valve
  • Staphylococcal Infections (diagnostic imaging, etiology, physiopathology)

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