Surgical treatment for infective prosthetic mitral valve endocarditis with cardiogenic shock; report of a case

We report a surgical case of active infective prosthetic mitral valve endocarditis with cardiogenic shock. The causative organism was methicillin-resistant coagulase negative Staphylococci (MRCNS) During medical treatment, the prosthetic valve was abruptly detouched partially from the mitral annulus...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 67; no. 7; p. 583
Main Authors Paku, Masaki, Takeda, Takahide, Sakaguchi, Hisashi
Format Journal Article
LanguageJapanese
Published Japan 01.07.2014
Subjects
Endocarditis, Bacterial - complications
Endocarditis, Bacterial - microbiology
Endocarditis, Bacterial - surgery
Heart Valve Prosthesis - adverse effects
Humans
Male
Medical Errors - adverse effects
Methicillin Resistance
Middle Aged
Mitral Valve - surgery
Shock, Cardiogenic - etiology
Shock, Cardiogenic - surgery
Staphylococcus
Treatment Outcome
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Summary:We report a surgical case of active infective prosthetic mitral valve endocarditis with cardiogenic shock. The causative organism was methicillin-resistant coagulase negative Staphylococci (MRCNS) During medical treatment, the prosthetic valve was abruptly detouched partially from the mitral annulus, and the patient developed rapid hemodynamic deterioration. We performed emergency re-do mitral valve replacement. The postoperative course was uneventful. Rapid establishment of femoro-femoral bypass was very effective for the emergency re-do valve surgery.
ISSN:0021-5252