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Mitral valve repair in a child with infectious endocarditis followed by meningitis

Yasuyuki Suzuki1, Masahito Minakawa, Hiroyuki Itaya

  • 1Department of Surgery 1, Hirosaki University School of Medicine, Aomori, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|October 30, 2004
PubMed

Insights

A pediatric case of infective endocarditis led to mitral regurgitation and cerebral aneurysm. Successful treatment involved neurosurgery for the aneurysm and mitral valve repair using Kay-Reed annuloplasty in a child.

Area of Science:

  • Pediatric Cardiology
  • Neurosurgery
  • Infectious Diseases

Background:

  • A one-year-old boy developed meningitis, leading to acute infective endocarditis.
  • This resulted in significant mitral regurgitation and congestive heart failure.

Observation:

  • During treatment, the patient experienced an acute subdural hematoma.
  • Cerebral artery aneurysm was diagnosed via brain computed tomography.

Findings:

  • Neurosurgery successfully clipped the cerebral aneurysm.
  • Mitral valve repair was performed using Kay-Reed annuloplasty and edge-to-edge repair, reducing annulus size from 20 to 16 mm.
  • This technique effectively reconstructed ruptured chordae and controlled mitral regurgitation.

Implications:

  • The described mitral valve repair technique is effective for pediatric cases with chordal detachment near the commissure.
  • This case highlights the complex interplay between infectious endocarditis, neurological complications, and cardiac repair in children.

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