Chirurgie reconstructrice de la valve mitrale en phase aiguë d'endocardite bactérienne. A propos de deux cas [Reconstructive surgery of the mitral valve in the acute stage of bacterial endocarditis. Apropos of 2 cases].

Details

Serval ID
serval:BIB_B5504A026A75
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Chirurgie reconstructrice de la valve mitrale en phase aiguë d'endocardite bactérienne. A propos de deux cas [Reconstructive surgery of the mitral valve in the acute stage of bacterial endocarditis. Apropos of 2 cases].
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Kalangos A., Vuille C., Pretre R., Lerch R., Faidutti B.
ISSN
0036-7672 (Print)
ISSN-L
0036-7672
Publication state
Published
Issued date
1995
Peer-reviewed
Oui
Volume
125
Number
34
Pages
1592-1596
Language
german
Notes
Case Reports
Abstract
Two patients in our institution underwent mitral valve reconstruction during the acute phase of Staphylococcus aureus mitral valve endocarditis. In neither case was a pre-existing valve lesion found. Echocardiographic examination revealed severe mitral insufficiency and the extent of valvular lesions. In the first patient, prolapse of the posterior commissure and paracommissural areas was due to ruptured chordae tendinae. In the second patient a perforated abscess was surrounded by vegetations in the median portion of the anterior leaflet and paramedian anterior chordae tendinae were ruptured. The surgical indication was hemodynamic, combined with suspicion of repeated emboli in one case. After a 10-day course of antibiotic therapy, both patients underwent surgical repair by Carpentier's mitral valvuloplasty. During more than 6 months' follow-up no recurrence of endocarditis was observed. Both patients were in class I of the NYHA without echocardiographic evidence of residual mitral regurgitation or stenosis. Early intervention during the acute phase of endocarditis, when mitral valve destruction is not too extensive, allows mitral valvuloplasty which preserves the native valve, eradicates infected tissues and may reduce postoperative mortality and morbidity.
Pubmed
Web of science
Create date
16/12/2014 17:56
Last modification date
20/08/2019 15:23
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