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Published in: Journal of Cardiothoracic Surgery 1/2014

Open Access 01-12-2014 | Case report

Surgical management of mitral valve infective endocarditis with annular abscess and calcification in the setting of a leaking mycotic infrarenal abdominal aortic aneurysm: a case report

Authors: Jordan DW Ross, Masashi Ura, Allan Kruger, Jeremy Wright

Published in: Journal of Cardiothoracic Surgery | Issue 1/2014

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Abstract

We present the case of a previously well seventy-four year old male caucasian grazier who presented with mild back pain and was subsequently found to have a large posterior mitral valve leaflet perivalvular abscess associated with mitral annulus calcification and a mycotic infrarenal abdominal aortic aneurysm (AAA) of Staphylococcal origin. He underwent a right axillofemoral bypass with oversewn aorta and a right to left femoral crossover graft, and a subsequent mitral valve repair with decalcification/debridement of the annulus and extensive posterior leaflet reconstruction with pericardium patch. Despite multiple sequelae and an extended intensive care and hospital stay, the patient was discharged home after six months.
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Literature
1.
go back to reference de Kerchove L, Price J, Tamer S, Glineur D, Momeni M, Noirhomme P, ElKhoury G: Extending the scope of mitral valve repair in active endocarditis. J Thorac Cardiovasc Surg. 2012, 143 (4): S91-S95. 10.1016/j.jtcvs.2012.01.049.CrossRefPubMed de Kerchove L, Price J, Tamer S, Glineur D, Momeni M, Noirhomme P, ElKhoury G: Extending the scope of mitral valve repair in active endocarditis. J Thorac Cardiovasc Surg. 2012, 143 (4): S91-S95. 10.1016/j.jtcvs.2012.01.049.CrossRefPubMed
2.
go back to reference Musci M, Hübler M, Pasic M, Amiri A, Stein J, Siniawski H, Weng Y, Hetzer R: Surgery for active infective mitral valve endocarditis: a 20-year, single-center experience. J Heart Valve Dis. 2010, 19 (2): 206-214. discussion 215PubMed Musci M, Hübler M, Pasic M, Amiri A, Stein J, Siniawski H, Weng Y, Hetzer R: Surgery for active infective mitral valve endocarditis: a 20-year, single-center experience. J Heart Valve Dis. 2010, 19 (2): 206-214. discussion 215PubMed
3.
go back to reference Feringa HH, Shaw LJ, Poldermans D, Hoeks S, van der Wall EE, Dion RA, Bax JJ: Mitral valve repair and replacement in endocarditis: a systematic review of literature. Ann Thorac Surg. 2007, 83 (2): 564-570. 10.1016/j.athoracsur.2006.09.023.CrossRefPubMed Feringa HH, Shaw LJ, Poldermans D, Hoeks S, van der Wall EE, Dion RA, Bax JJ: Mitral valve repair and replacement in endocarditis: a systematic review of literature. Ann Thorac Surg. 2007, 83 (2): 564-570. 10.1016/j.athoracsur.2006.09.023.CrossRefPubMed
4.
go back to reference Shang E, Forrest GN, Chizmar T, Chim J, Brown JM, Zhan M, Zoarski GH, Griffith BP, Gammie JS: Mitral valve infective endocarditis: benefit of early operation and aggressive use of repair. Ann Thorac Surg. 2009, 87 (6): 1728-1733. 10.1016/j.athoracsur.2009.02.098. discussion 1734CrossRefPubMed Shang E, Forrest GN, Chizmar T, Chim J, Brown JM, Zhan M, Zoarski GH, Griffith BP, Gammie JS: Mitral valve infective endocarditis: benefit of early operation and aggressive use of repair. Ann Thorac Surg. 2009, 87 (6): 1728-1733. 10.1016/j.athoracsur.2009.02.098. discussion 1734CrossRefPubMed
5.
go back to reference Ruttmann E, Legit C, Poelzl G, Mueller S, Chevtchik O, Cottogni M, Ulmer H, Pachinger O, Laufer G, Mueller LC: Mitral valve repair provides improved outcome over replacement in active infective endocarditis. J Thorac Cardiovasc Surg. 2005, 130 (3): 765-771. 10.1016/j.jtcvs.2005.03.016.CrossRefPubMed Ruttmann E, Legit C, Poelzl G, Mueller S, Chevtchik O, Cottogni M, Ulmer H, Pachinger O, Laufer G, Mueller LC: Mitral valve repair provides improved outcome over replacement in active infective endocarditis. J Thorac Cardiovasc Surg. 2005, 130 (3): 765-771. 10.1016/j.jtcvs.2005.03.016.CrossRefPubMed
6.
go back to reference D'Alessandro C, Vistarini N, Aubert S, Jault F, Acar C, Pavie A, Gandjbakhch I: Mitral annulus calcification: determinants of repair feasibility, early and late surgical outcome. Eur J Cardiothorac Surg. 2007, 32 (4): 596-603. 10.1016/j.ejcts.2007.06.044.CrossRefPubMed D'Alessandro C, Vistarini N, Aubert S, Jault F, Acar C, Pavie A, Gandjbakhch I: Mitral annulus calcification: determinants of repair feasibility, early and late surgical outcome. Eur J Cardiothorac Surg. 2007, 32 (4): 596-603. 10.1016/j.ejcts.2007.06.044.CrossRefPubMed
7.
go back to reference Ng CK, Punzengruber C, Pachinger O, Nesser J, Auer H, Franke H, Hartl P: Valve repair in mitral regurgitation complicated by severe annulus calcification. Ann Thorac Surg. 2000, 70 (1): 53-58. 10.1016/S0003-4975(00)01347-3.CrossRefPubMed Ng CK, Punzengruber C, Pachinger O, Nesser J, Auer H, Franke H, Hartl P: Valve repair in mitral regurgitation complicated by severe annulus calcification. Ann Thorac Surg. 2000, 70 (1): 53-58. 10.1016/S0003-4975(00)01347-3.CrossRefPubMed
8.
go back to reference Sakamoto S, Matsubara J, Nagayoshi Y, Nishizawa H, Takeuchi K, Kiyosawa J: Annular reconstruction for mitral valve replacement in a destroyed or calcified mitral annulus. Jpn J Thorac Cardiovasc Surg. 2006, 54 (11): 500-503. 10.1007/s11748-006-0043-0.CrossRefPubMed Sakamoto S, Matsubara J, Nagayoshi Y, Nishizawa H, Takeuchi K, Kiyosawa J: Annular reconstruction for mitral valve replacement in a destroyed or calcified mitral annulus. Jpn J Thorac Cardiovasc Surg. 2006, 54 (11): 500-503. 10.1007/s11748-006-0043-0.CrossRefPubMed
Metadata
Title
Surgical management of mitral valve infective endocarditis with annular abscess and calcification in the setting of a leaking mycotic infrarenal abdominal aortic aneurysm: a case report
Authors
Jordan DW Ross
Masashi Ura
Allan Kruger
Jeremy Wright
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2014
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-014-0154-0

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