Mitral valve repair for infective endocarditis after esophageal reconstruction: a case report

Background In patients with retrosternal neo-esophageal conduit after right thoracotomy, the approach to cardiac surgery could be challenging. Particularly, in patients with infective endocarditis, there is a risk of injury to the conduit through standard median sternotomy. Moreover, right lung adhe...

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Bibliographic Details
Published in:Surgical case reports 2024-02, Vol.10 (1), p.37-37, Article 37
Main Authors: Tsushima, Shingo, Iba, Yutaka, Nakajima, Tomohiro, Nakazawa, Junji, Shibata, Tsuyoshi, Ohkawa, Akihito, Hosaka, Itaru, Arihara, Ayaka, Kawaharada, Nobuyoshi
Format: Article
Language:English
Subjects:
Case Report
Case reports
Endocarditis
Esophagus
Extra-anatomical esophageal reconstruction
Infective endocarditis
Medicine
Medicine & Public Health
Mitral valve repair
Ostomy
Right thoracotomy
Surgery
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Summary:Background In patients with retrosternal neo-esophageal conduit after right thoracotomy, the approach to cardiac surgery could be challenging. Particularly, in patients with infective endocarditis, there is a risk of injury to the conduit through standard median sternotomy. Moreover, right lung adhesions could be predicted. Herein, we present a case of successful mitral valve repair in a patient with infective endocarditis through a redo right thoracotomy after esophageal reconstruction. Case presentation A 66-year-old male patient was diagnosed with infective endocarditis and a large anterior mitral leaflet vegetation after a previous esophageal reconstruction via right thoracotomy for esophageal cancer. Due to the retrosternal esophageal reconstruction, we performed a mitral valve repair through a redo right thoracotomy. After resecting the vegetation, the defect was closed with a fresh autologous pericardial patch. Mitral valve annuloplasty was performed. Postoperatively, antibiotics controlled the infection. The patient was discharged on postoperative day 30. Conclusions Successful mitral valve repair was performed for infective endocarditis through a redo right thoracotomy after esophageal reconstruction.
ISSN:2198-7793
2198-7793
DOI:10.1186/s40792-024-01836-7