Advertisement

Mitral Valve Infective Endocarditis

  • Narain Moorjani
  • Bushra S. Rana
  • Francis C. Wells
Chapter

Abstract

A 63 year-old gentleman presented with a 4-week history of fever, night sweats and increasing dyspnoea on exertion, associated with lethargy. He had no previous history of rheumatic fever but had recently undergone a dental extraction. Clinical examination revealed pyrexia (38.2 °C) and a pan systolic murmur. Blood cultures revealed streptococcus sanguinis, associated with a raised white blood cell count (15,600/μL) and C-reactive protein (238 mg/dL).

Keywords

Infective endocarditis Annular abscess Vegetation Leaflet reconstruction Autologous pericardium Bovine pericardium Mitral regurgitation Mitral valve replacement Bacteraemia Embolisation 

Recommended Reading

  1. AATS Surgical Treatment of Infective Endocarditis Consensus Guidelines Writing Committee Chairs, Pettersson GB, Coselli JS, Writing Committee, Pettersson GB, Coselli JS, Hussain ST, Griffin B, Blackstone EH, Gordon SM, SA LM, Woc-Colburn LE. The American Association for Thoracic Surgery (AATS) consensus guidelines: surgical treatment of infective endocarditis. J Thorac Cardiovasc Surg 2017. 2016;153(6):1241–58.Google Scholar
  2. de Kerchove L, Price J, Tamer S, Glineur D, Momeni M, Noirhomme P, ElKhoury G. Extending the scope of mitral valve repair in active endocarditis. J Thorac Cardiovasc Surg. 2012;123(4 Suppl):S91–5.CrossRefGoogle Scholar
  3. Evans CF, Gammie JS. Surgical management of mitral valve infective endocarditis. Semin Thorac Cardiovasc Surg. 2011;23(3):232–40.CrossRefGoogle Scholar
  4. Feringa HH, Shaw LJ, Poldermans D, Hoeks S, van der Wall EE, Dion RA, Bax JJ. Mitral valve repair and replacement in endocarditis: a systematic review of literature. Ann Thorac Surg. 2007;83(2):564–70.CrossRefGoogle Scholar
  5. Sareyyupoglu B, Schaff HV, Suri RM, Connolly HM, Daly RC, Orszulak TA. Safety and durability of mitral valve repair for anterior leaflet perforation. J Thorac Cardiovasc Surg. 2010;139(6):1288–93.CrossRefGoogle Scholar
  6. Shimokawa T, Kasegawa H, Matsuyama S, Seki H, Manabe S, Fukui T, Morita S, Takanashi S. Long-term outcome of mitral valve repair for infective endocarditis. Ann Thorac Surg. 2009;88(3):733–9.CrossRefGoogle Scholar
  7. Zegdi R, Debièche M, Latrémouille C, Lebied D, Chardigny C, Grinda JM, Chauvaud S, Deloche A, Carpentier A, Fabiani JN. Long-term results of mitral valve repair in active endocarditis. Circulation. 2005;111(19):2532–6.CrossRefGoogle Scholar
  8. Zhao D, Zhang B. Are valve repairs associated with better outcomes than replacements in patients with native active valve endocarditis? Interact Cardiovasc Thorac Surg. 2014;19(6):1036–9.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Narain Moorjani
    • 1
  • Bushra S. Rana
    • 2
  • Francis C. Wells
    • 1
  1. 1.Department of Cardiothoracic SurgeryRoyal Papworth HospitalCambridgeUK
  2. 2.Department of CardiologyRoyal Papworth HospitalCambridgeUK

Personalised recommendations