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Emergency repair has been successfully performed in acute type A aortic dissection complicated by cerebral malperfusion. Despite the lack of criteria to define irreversible brain damage, immediate surgery is often denied in case of stroke or coma. We report two patients presenting with coma and altered brainstem reflexes shortly after onset of aortic… (More)
We report the case of a 39-year-old man who underwent life-saving aortic valve replacement with a bioprosthesis for acute endocarditis while on the liver transplant waiting list, followed by successful transplantation and late valve re-replacement with a mechanical prosthesis, 10.8 years after primary valve surgery.
Listerial endocarditis is uncommon, but potentially destructive. Fifteen years after mitral valve replacement, a 67-year-old male without co-morbidities developed hyperacute shock (white blood cell count = 38.750Áml À1) following a mildly febrile period with normal echocardio-grams. Trans-oesophageal echocardiography showed a flail prosthesis (Fig. 1).… (More)