Successful Medical Treatment of Prosthetic Valve Endocarditis with a Perivalvular Abscess

(Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan)

Chikara Ueki Takeshi Shimamoto Genichi Sakaguchi
Tatsuhiko Komiya
A 68-year-old man visited our hospital with a high fever with chills 4 years after aortic valve replacement. Streptococcal species were cultured with a venous blood culture. An echocardiogram and a cardiac computed tomography(CT)scan revealed a perivalvular abscess(11mm×15mm). Because his prosthetic valve functioned well, he was treated with intravenous ampicillin and gentamicin. Cardiac CT scan performed at 6 weeks showed the perivalvular abscess to have disappeared and he was discharged from the hospital. He is free from recurrence of the abscess 20 months after the initiation of therapy.
  Jpn. J. Cardiovasc. Surg. 41:21-24(2012)

Keywords:prosthetic valve endocarditis, perivalvular abscess, Streptococcal species