Surgical management of mitral valve infective endocarditis with annular abscess and calcification in the setting of a leaking mycotic infrarenal abdominal aortic aneurysm: a case report

We present the case of a previously well seventy-four year old male caucasian grazier who presented with mild back pain and was subsequently found to have a large posterior mitral valve leaflet perivalvular abscess associated with mitral annulus calcification and a mycotic infrarenal abdominal aorti...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2014-09, Vol.9 (1), p.154-154, Article 154
Main Authors: Ross, Jordan D W, Ura, Masashi, Kruger, Allan, Wright, Jeremy
Format: Article
Language:English
Subjects:
Abscess - surgery
Aged
Aorta, Abdominal - surgery
Aortic Aneurysm, Abdominal - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - methods
Calcinosis - surgery
Care and treatment
Case Report
Coronary artery bypass
Debridement - adverse effects
Debridement - methods
Diagnosis
Endocarditis
Endocarditis, Bacterial - surgery
Heart Valve Diseases - surgery
Humans
Male
Mitral Valve - surgery
Patient outcomes
Staphylococcal Infections - surgery
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Summary:We present the case of a previously well seventy-four year old male caucasian grazier who presented with mild back pain and was subsequently found to have a large posterior mitral valve leaflet perivalvular abscess associated with mitral annulus calcification and a mycotic infrarenal abdominal aortic aneurysm (AAA) of Staphylococcal origin. He underwent a right axillofemoral bypass with oversewn aorta and a right to left femoral crossover graft, and a subsequent mitral valve repair with decalcification/debridement of the annulus and extensive posterior leaflet reconstruction with pericardium patch. Despite multiple sequelae and an extended intensive care and hospital stay, the patient was discharged home after six months.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-014-0154-0