Document Detail

The successful surgical repair of a left ventricular-right atrial communication and aneurysm of the mitral valve caused by infective endocarditis: report of a case.
MedLine Citation:
PMID:  7949779     Owner:  NLM     Status:  MEDLINE    
We report herein the case of a 42-year-old man who developed a left ventricular-right atrial communication and aneurysm of the mitral valve caused by infective endocarditis, which was associated with aortic regurgitation. Based on the findings of congestive heart failure, prolongation of the PR interval, and the added threat of rupture of the mitral aneurysm, surgical treatment was decided upon as the best course of action. The aortic and mitral valves were replaced with prosthetic mechanical valves, and the septal communication was simultaneously closed with a patch. The patient's postoperative course was uneventful and he has been in good health since. Thus, we believe that aggressive surgical intervention for complicated lesions such as those seen in our patient may be life-saving, even in the presence of inflammatory signs.
Y Saiki; M Kawase; T Ida; E Mannouji; H Kasegawa; Y Takahashi; T Kikuchi; K Tatsuno
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  24     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1994  
Date Detail:
Created Date:  1994-11-30     Completed Date:  1994-11-30     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  655-8     Citation Subset:  IM    
Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
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MeSH Terms
Aneurysm, Infected / surgery*
Endocarditis, Bacterial / complications,  surgery*
Fistula / etiology,  surgery*
Heart Diseases / etiology,  surgery*
Heart Valve Diseases / surgery
Heart Valve Prosthesis*
Mitral Valve / surgery*
Streptococcal Infections / complications,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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