[A case of successful surgical treatment for active endocarditis 2 days after the onset of cerebral infarction].
We performed double valve replacement for a patient with active endocarditis 2 days after the onset of cerebral infarction because of intractable cardiac failure. The use of heparin and the hypotension brought by cardiopulmonary bypass can lead exacerbation of the cerebral symptoms after open heart surgery which is performed during acute phase of cerebral infarction. Perfusion pressure was maintained over 70 mmHg during cardiopulmonary bypass and activated clotting time was kept about 400 seconds to prevent aggravation of cerebral complications in this case. The patients recovered from surgery uneventfully. We described a case who was received double valve replacement 2 days after the onset of cerebral infarction successfully.
Nakamura
K
K
Second Department of Surgery, Miyazaki Medical College, Japan.
Onitsuka
T
T
Kuwabara
M
M
Nakajima
S
S
Araki
K
K
Yano
Y
Y
Hayase
T
T
Matsuzaki
Y
Y
D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D002315:Cardiopulmonary Bypass; D002544:Cerebral Infarction / Q000209:etiology*; D004696:Endocarditis / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery