[A case of infective endocarditis with multiple embolic complications].
A 13-year-old girl was admitted to a hospital because of fever and sore throat. Staphylococcus aureus was obtained on blood culture, and she was treated with antibiotics under the diagnosis of sepsis and DIC. Echocardiography showed huge vegetation attached to the posterior leaflet of mitral valve and severe mitral regurgitation. CT scan revealed multiple heterogeneous high density areas in her brain. She was transferred to our hospital for further examination and treatment. Large verrucae on the mitral valve, severe regurgitation and repeated embolism urged us to the emergency mitral valve replacement. Debridement of abscess on the posterior wall of the left atrium and ventricle necessitated patch plasty of those structures and mitral ring as well. Operative and postoperative examination showed mycotic aneurysm of right coronary artery, multiple brain hemorrhage, arterial obstructions of extremities and splenic infarction. Sooner she recovered except for slight macular degeneration caused by retinal embolism.
Sakata
K
K
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan.
Misawa
Y
Y
Kato
M
M
Take
A
A
Takahashi
T
T
Hasegawa
T
T
D000293:Adolescent; D004617:Embolism / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000150:complications* / Q000601:surgery