Recurrent prosthetic endocarditis in a 21-year old patient with renal transplantation treated with allogeneic homograft

Česká verzia

Authors: F. Sabol ³; M. Jakubová ¹; A. Kolesár ³; B. Stančák ²; M. Beňa ³; J. Podracký ²; Ľ. Podracká ⁴; P. Čadník ¹; J. Špatenka ⁵
Authors place of work: Klinika anestéziológie a intenzívnej medicíny VÚSCH, a. s., Košice, Slovenská republika, prednosta doc. MUDr. Pavol Török, CSc. ¹; Klinika kardiológie VÚSCH, a. s., Košice, Slovenská republika, prednosta doc. MUDr. Branislav Stančák, CSc. ²; Klinika srdcovej chirurgie VÚSCH, a. s., Košice, Slovenská republika, prednosta MUDr. František Sabol, PhD. ³; I. klinika detí a dorastu DFN Košice, Slovenská republika, prednosta prof. MUDr. Ľudmila Podracká, CSc. ⁴; Transplantační centrum FN Motol Praha, Česká republika, přednosta prim. MUDr. Jaroslav Špatenka, CSc. ⁵
Published in the journal: Vnitř Lék 2012; 58(6): 494-498
Category: Case Reports

Summary

Prosthetic infective endocarditis is a possible complication of implantation of a prosthetic cardiac valve. Without early and effective treatment, it can have fatal consequences. One treatment option is use of an allogeneic cryopreserved homograft. This case report presents a 21-year old patient after kidney transplantation due to hereditary nephrotic syndrome and aortic valve replacement with aortic conduits. After fever was noted in the patient, prosthetic infective endocarditis was diagnosed by echocardiography and also confirmed by CT-3D examination. The cryopreserved aortic homograft was implanted at the Department of Cardiac Surgery. This along with additional conservative management effectively treated the infection. Based on literature data and our own experience, we believe that the treatment of prosthetic endocarditis after aortic valve replacement with cryopreserved homograft can be a method of choice.

Key words:
allogeneic homograft – infective endocarditis – kidney transplant

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