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[Prosthetic valve endocarditis associated with paravalvular aortic and mitral abscesses]
Takayuki Aoki1, Junichiro Nishizawa, Hiroomi Nishio
1Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital, Hamamatsu, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 1, 2012
Summary
Prosthetic valve endocarditis complicated a patient
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- A 63-year-old female with a history of aortic and mitral valve replacement presented with urinary tract infection.
- The patient subsequently developed cerebral hemorrhage and sepsis due to Methicillin-resistant Staphylococcus aureus (MRSA).
Observation:
- Transesophageal echocardiography identified paravalvular abscesses around both the aortic and mitral prosthetic valves.
- This indicated a diagnosis of prosthetic valve endocarditis.
Findings:
- A successful redo double valve replacement surgery was performed.
- Paravalvular abscess cavities were debrided and reconstructed using autologous pericardial patches, followed by the implantation of mechanical valves.
Implications:
- The patient experienced an uneventful postoperative recovery.
- No signs of recurrent infection were observed at the 3-year postoperative follow-up, suggesting the efficacy of the surgical intervention.
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