Mitral valve repair for infective endocarditis after esophageal reconstruction : a case report
© 2024. The Author(s)..
BACKGROUND: In patients with retrosternal neo-esophageal conduit after right thoracotomy, the approach to cardiac surgery could be challenging. Particularly, in patients with infective endocarditis, there is a risk of injury to the conduit through standard median sternotomy. Moreover, right lung adhesions could be predicted. Herein, we present a case of successful mitral valve repair in a patient with infective endocarditis through a redo right thoracotomy after esophageal reconstruction.
CASE PRESENTATION: A 66-year-old male patient was diagnosed with infective endocarditis and a large anterior mitral leaflet vegetation after a previous esophageal reconstruction via right thoracotomy for esophageal cancer. Due to the retrosternal esophageal reconstruction, we performed a mitral valve repair through a redo right thoracotomy. After resecting the vegetation, the defect was closed with a fresh autologous pericardial patch. Mitral valve annuloplasty was performed. Postoperatively, antibiotics controlled the infection. The patient was discharged on postoperative day 30.
CONCLUSIONS: Successful mitral valve repair was performed for infective endocarditis through a redo right thoracotomy after esophageal reconstruction.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
Surgical case reports - 10(2024), 1 vom: 09. Feb., Seite 37 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Tsushima, Shingo [VerfasserIn] |
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| Links: |
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| Themen: |
Extra-anatomical esophageal reconstruction |
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| Anmerkungen: |
Date Revised 12.02.2024 published: Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1186/s40792-024-01836-7 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368217329 |
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| 520 | |a © 2024. The Author(s). | ||
| 520 | |a BACKGROUND: In patients with retrosternal neo-esophageal conduit after right thoracotomy, the approach to cardiac surgery could be challenging. Particularly, in patients with infective endocarditis, there is a risk of injury to the conduit through standard median sternotomy. Moreover, right lung adhesions could be predicted. Herein, we present a case of successful mitral valve repair in a patient with infective endocarditis through a redo right thoracotomy after esophageal reconstruction | ||
| 520 | |a CASE PRESENTATION: A 66-year-old male patient was diagnosed with infective endocarditis and a large anterior mitral leaflet vegetation after a previous esophageal reconstruction via right thoracotomy for esophageal cancer. Due to the retrosternal esophageal reconstruction, we performed a mitral valve repair through a redo right thoracotomy. After resecting the vegetation, the defect was closed with a fresh autologous pericardial patch. Mitral valve annuloplasty was performed. Postoperatively, antibiotics controlled the infection. The patient was discharged on postoperative day 30 | ||
| 520 | |a CONCLUSIONS: Successful mitral valve repair was performed for infective endocarditis through a redo right thoracotomy after esophageal reconstruction | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Extra-anatomical esophageal reconstruction | |
| 650 | 4 | |a Infective endocarditis | |
| 650 | 4 | |a Mitral valve repair | |
| 650 | 4 | |a Right thoracotomy | |
| 700 | 1 | |a Iba, Yutaka |e verfasserin |4 aut | |
| 700 | 1 | |a Nakajima, Tomohiro |e verfasserin |4 aut | |
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| 700 | 1 | |a Ohkawa, Akihito |e verfasserin |4 aut | |
| 700 | 1 | |a Hosaka, Itaru |e verfasserin |4 aut | |
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| 700 | 1 | |a Kawaharada, Nobuyoshi |e verfasserin |4 aut | |
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