Aortic valve replacement by limited sternotomy for infective endocarditis in a patient with a tracheostomy.
Active infection in the area of the tracheostomy during cardiac surgery presents a high risk. We successfully performed urgent aortic valve replacement for an endocarditis patient with active infection of methicillin resistance staphylococcus aureus in the tracheostoma. To avoid wound infection, a 2nd J-limited sternotomy was used during the operation. Despite malnutrition, the patient showed no wound infection after surgery and recovered smoothly.
Ueyama
Keishi
K
Department of Cardiovascular Surgery, Maizuru Mutual Hospital, Maizuru, Kyoto, Japan.
Tomita
Shigeyuki
S
Koshida
Yoshinao
Y
D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000453:epidemiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D015897:Comorbidity; D004697:Endocarditis, Bacterial / Q000453:epidemiology / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008297:Male; D018410:Pneumonia, Bacterial / Q000453:epidemiology; D013203:Staphylococcal Infections / Q000453:epidemiology; D013249:Sternum / Q000601:surgery; D014139:Tracheostomy