A 50-year-old female patient with visual disturbances was referred for further evaluation of a heart murmur. Fundoscopy revealed a Roth spot in both eyes. A physical examination showed peripheral signs of infective endocarditis, including Osler nodes, Janeway lesions, and splinter hemorrhages. Our preoperative diagnosis was subacute bacterial endocarditis with severe aortic regurgitation. The patient underwent aortic valve replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. The patient made a remarkable recovery and was discharged without complications. We report this case of subacute endocarditis with all 4 classic peripheral signs in a patient who presented with visual disturbance.
Anti-Bacterial Agents ; Aortic Valve ; Aortic Valve Insufficiency ; Diagnosis ; Endocarditis ; Endocarditis, Subacute Bacterial* ; Female ; Heart Murmurs ; Hemorrhage ; Humans ; Middle Aged ; Physical Examination

Tracheal diverticulum is often diagnosed incidentally and, due to its rarity, there is no standard treatment. It is a benign entity, but has the potential to cause specific symptoms, such as chronic upper respiratory infection and chronic cough. Symptomatic tracheal diverticulum can be medically treated, but likelihood of recurrence is high. We report a case of surgical resection of symptomatic tracheal diverticulum to prevent recurrence.
Cough ; Diverticulum* ; Recurrence

The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of the aortic thrombi under cardiopulmonary bypass. Although esophageal resection was not carried out concomitantly, the lesions were resolved and the patient remained free of complications over 2 years of follow-up care.
Aorta ; Cardiopulmonary Bypass ; Debridement ; Esophageal Diseases ; Follow-Up Studies ; Humans ; Mediastinitis* ; Mediastinum ; Pancreatitis* ; Pancreatitis, Acute Necrotizing ; Thrombosis

No abstract available.
Aneurysm* ; Aorta*

No abstract available.
Adenomatous Polyposis Coli* ; Carcinoid Tumor*

No abstract available.
Pneumothorax* ; Risk Factors*

No abstract available.
Blood Platelets* ; Cardiopulmonary Bypass*

No abstract available.

No abstract available.
Hypothermia*

No abstract available.
Korea* ; Thoracic Surgery*