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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

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Published on: May 26, 2023

Active infective endocarditis after mitral valve repair.

Takashi Miura¹, Kiyoyuki Eishi, Koji Hashizume

¹Department of Cardiovascular Surgery, Graduate School of Medicine, Nagasaki University, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. takashiren@yahoo.co.jp

General Thoracic and Cardiovascular Surgery

|January 9, 2010

Summary

Active mitral endocarditis after valve repair is rare but serious. Prompt reoperation is crucial for drug-resistant infections involving the artificial ring to prevent further complications.

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Area of Science:

Cardiovascular Surgery
Infectious Diseases
Medical Device Infections

Background:

Mitral valve repair can be complicated by infective endocarditis.
Prosthetic material can serve as a nidus for bacterial growth.

Observation:

A 22-year-old man developed active mitral endocarditis 14 months post-repair.
Methicillin-resistant Staphylococcus epidermidis caused vegetation growth from 8mm to 30mm despite antibiotics.
Infection involved the artificial ring of the mitral valve.

Findings:

Reoperation involved vegetation removal and artificial ring excision.
Circumferential sulcus repair was achieved with mattress sutures.
Post-operative antibiotic therapy included teicoplanin and minocycline for 6 weeks.

Implications:

Prompt reoperation is vital for drug-resistant mitral endocarditis post-repair, especially with prosthetic ring involvement.
Successful re-repair can resolve infection and maintain mild mitral regurgitation.
This case highlights the importance of considering reoperation in complex prosthetic valve endocarditis.