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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

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Peripartum native valve endocarditis without underlying risk factors.

Riju Nair¹, Subbaiyan Kumar², Rajan Mani¹

¹Department of Cardiothoracic Surgery, Meenakshi Mission Hospital & Research Center, Madurai, Tamil Nadu India.

Indian Journal of Thoracic and Cardiovascular Surgery

|September 13, 2021

Summary

Infective endocarditis (IE) in pregnancy, though rare, poses risks. This case highlights methicillin-resistant Staphylococcus aureus (MRSA) IE in a healthy pregnant woman without risk factors, a first from the Indian subcontinent.

Keywords:

AHA guidelines on MRSA infective endocarditis MRSA infective endocarditis Postpartum infective endocarditis

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Area of Science:

Cardiology
Obstetrics & Gynecology
Infectious Diseases

Background:

Infective endocarditis (IE) during pregnancy is uncommon but linked to poor maternal and fetal outcomes.
Limited literature exists on IE complicating pregnancy due to its rarity and diverse clinical presentations.

Observation:

A case of IE in a healthy pregnant woman is presented.
The causative agent was identified as methicillin-resistant Staphylococcus aureus (MRSA).
The patient had no known predisposing risk factors for IE.

Findings:

This represents the first documented instance of IE complicating pregnancy caused by MRSA without underlying risk factors in the Indian subcontinent.
The case underscores the potential for IE to occur in seemingly low-risk pregnant individuals.

Implications:

Highlights the importance of considering IE in pregnant patients, even without typical risk factors.
Emphasizes the need for awareness regarding MRSA as a potential pathogen in pregnancy-related IE.
Suggests a review of current management guidelines for MRSA-related IE in pregnant women.