Combined aortic and mitral valve repair in active infective endocarditis

We describe a case of successful combined repair of the aortic and mitral valves for an indication of active infective endocarditis involving both valves. Mitral valve repair was achieved by vegetation debridement, fixation of the anterior mitral commissure, resection and suturing of the posterior m...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2005-07, Vol.53 (7), p.372-376
Main Authors: Yamaguchi, Hiroichiro, Eishi, Kiyoyuki, Yamachika, Shiro, Tanigawa, Kazuyoshi, Izumi, Kenta, Matsukuma, Seiji
Format: Article
Language:English
Subjects:
Aged
Aortic Valve - surgery
Endocarditis, Bacterial - surgery
Humans
Male
Mitral Valve - surgery
Treatment Outcome
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Summary:We describe a case of successful combined repair of the aortic and mitral valves for an indication of active infective endocarditis involving both valves. Mitral valve repair was achieved by vegetation debridement, fixation of the anterior mitral commissure, resection and suturing of the posterior mitral leaflet, and posterior annuloplasty with autologous pericardium. Aortic valve repair was achieved by vegetectomy and commissural plication. Postoperative clinical course was without signs of recurrent infection, and echocardiogram demonstrated mitral valve competence with trivial aortic regurgitation. We concluded that simultaneous valve repair is a viable option in the context of active endocarditis.
ISSN:1344-4964
1863-6705
1863-2092
1863-6713
DOI:10.1007/s11748-005-0053-3