An alien in the heart

We report a case of a 38-year-old-man who presented with altered mental status. The patient was diagnosed with infective endocarditis (IE) originating from the GORE HELEX septal occluder device, which was placed 15 months earlier for symptomatic atrial septal defect. Brain imaging revealed shower em...

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Detalles Bibliográficos
Autores principales: Agrawal, Yashwant, Kalavakunta, Jagadeesh K., Gupta, Vishal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917643/
https://www.ncbi.nlm.nih.gov/pubmed/27358534
http://dx.doi.org/10.1016/j.jsha.2015.12.007
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author Agrawal, Yashwant
Kalavakunta, Jagadeesh K.
Gupta, Vishal
author_facet Agrawal, Yashwant
Kalavakunta, Jagadeesh K.
Gupta, Vishal
author_sort Agrawal, Yashwant
collection PubMed
description We report a case of a 38-year-old-man who presented with altered mental status. The patient was diagnosed with infective endocarditis (IE) originating from the GORE HELEX septal occluder device, which was placed 15 months earlier for symptomatic atrial septal defect. Brain imaging revealed shower emboli phenomena from the known IE. The patient developed hydrocephalus for which external ventriculostomy was performed. Improved neurological status warranted open heart surgery. The patient was later confirmed to be an intravenous drugs abuser, prejudicing IE. This case highlights the importance of meticulously monitoring patients with suspected high-risk behavior with an implanted intracardiac prosthetic device.
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spelling pubmed-49176432016-06-29 An alien in the heart Agrawal, Yashwant Kalavakunta, Jagadeesh K. Gupta, Vishal J Saudi Heart Assoc Case Report We report a case of a 38-year-old-man who presented with altered mental status. The patient was diagnosed with infective endocarditis (IE) originating from the GORE HELEX septal occluder device, which was placed 15 months earlier for symptomatic atrial septal defect. Brain imaging revealed shower emboli phenomena from the known IE. The patient developed hydrocephalus for which external ventriculostomy was performed. Improved neurological status warranted open heart surgery. The patient was later confirmed to be an intravenous drugs abuser, prejudicing IE. This case highlights the importance of meticulously monitoring patients with suspected high-risk behavior with an implanted intracardiac prosthetic device. Elsevier 2016-07 2016-01-02 /pmc/articles/PMC4917643/ /pubmed/27358534 http://dx.doi.org/10.1016/j.jsha.2015.12.007 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Agrawal, Yashwant
Kalavakunta, Jagadeesh K.
Gupta, Vishal
An alien in the heart
title An alien in the heart
title_full An alien in the heart
title_fullStr An alien in the heart
title_full_unstemmed An alien in the heart
title_short An alien in the heart
title_sort alien in the heart
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917643/
https://www.ncbi.nlm.nih.gov/pubmed/27358534
http://dx.doi.org/10.1016/j.jsha.2015.12.007
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