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Simultaneous Salmonella spp. endocarditis and mycotic abdominal aortic aneurysm presentation: a surgical dilemma

^a Department of Surgery, Section of Cardiac Surgery, Cardiac Sciences Program, St. Boniface General Hospital, Winnipeg, Manitoba, Canada
^b Institute of Cardiovascular Sciences, St. Boniface Research Centre, Winnipeg, Manitoba, Canada

*Corresponding author. Department of Surgery, University of Manitoba, 409 Tache Avenue, Room Z-3028, St. Boniface General Hospital, Winnipeg, MB, R2H 2A6, Canada. Tel.: +1 (204) 237-2571; fax: +1 (204) 237-3429.

E-mail address: kennykumar{at}shaw.ca (K. Kumar).

Concomitant valvular and abdominal aortic pathologies, both requiring urgent surgical interventions, are an uncommon entity. The ideal surgical management of such a scenario varies, depending on a host of variables. Due to its complexity and rarity, the ideal management approach remains an unknown. We describe a patient who presents with a delayed diagnosis of concomitant Salmonella species mitral valve (MV) endocarditis and mycotic abdominal aortic aneurysm (AAA). Though both clinical entities required urgent surgical intervention, the presence of one made intervening for the other high-risk and created a surgical dilemma. Following guarded conservative medical management, the patient underwent successful staged surgical interventions.

Key Words: Salmonella; Endocarditis; Mitral valve; Aortic aneurysm

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eComment: Efficacy of endovascular aneurysm repair in Salmonella mycotic aneurysm

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				C.-D. Kan, H.-L. Lee, and Y.-J. Yang eComment: Efficacy of endovascular aneurysm repair in Salmonella mycotic aneurysm Interactive CardioVascular and Thoracic Surgery, August 1, 2009; 9(2): 359 - 359. [Full Text] [PDF]