Posterior Mitral Abscess With Bypass Grafting Before Annulus Reconstruction: A Case Report

Abstract A posterior mitral annular abscess is a rare but severe complication of endocarditis which requires careful surgical intervention. The debridement and reconstruction can cause fatal complications such as left atrioventricular groove rupture, coronary artery entrapment, and acute myocardial...

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Bibliographic Details
Published in:Canadian journal of cardiology 2013-12, Vol.29 (12), p.1742.e9-1742.e11
Main Authors: Une, Dai, MD, Lapierre, Harry, MD, Beauchesne, Luc, MD, Ruel, Marc, MD, MPH
Format: Article
Language:English
Subjects:
Abscess - diagnosis
Abscess - diagnostic imaging
Cardiovascular
Coronary Artery Bypass - methods
Debridement
Diverticulum - diagnostic imaging
Diverticulum - surgery
Echocardiography, Transesophageal
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - surgery
Female
Heart Valve Diseases - diagnostic imaging
Heart Valve Diseases - surgery
Humans
Middle Aged
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Annuloplasty
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - surgery
Pericardium - transplantation
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Summary:Abstract A posterior mitral annular abscess is a rare but severe complication of endocarditis which requires careful surgical intervention. The debridement and reconstruction can cause fatal complications such as left atrioventricular groove rupture, coronary artery entrapment, and acute myocardial infarction. We report on a 60-year-old woman who developed acute infective endocarditis of her native mitral valve complicated by a posterior annular abscess, and who underwent precautionary bypass grafting to a dominant circumflex coronary artery before extensive atrioventricular groove debridement and reconstruction.
ISSN:0828-282X
1916-7075
DOI:10.1016/j.cjca.2013.04.029