Valvuloplasty for anterior mitral leaflet prolapse due to infective endocarditis: report of 2 cases.
We report 2 clinical cases of successful repair of an infected mitral valve with a broad-range prolapse of the anterior mitral leaflet (AML) with large vegetation. The chordal transfer technique was used in both cases, and autologous pericardium was transplanted in one case. There was neither residual mitral regurgitation nor recurrence of mitral valve infection. Chordal transfer is a useful technique for AML lesions of infective endocarditis if the corresponding area of the posterior ML remains normal, and even in the case of a broadly destroyed lesion of the AML, it is valuable to try to apply this technique with an autologous pericardial patch.
Hata
Hiroki
H
Division of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita,bJapan. hatahiro@surg1.med.osaka-u.ac.jp
Miyamoto
Yuji
Y
Matsumiya
Goro
G
Sawa
Yoshiki
Y
Fukushima
Norihide
N
Takano
Hiroshi
H
Monta
Osamu
O
Matsuda
Hikaru
H
D000328:Adult; D004696:Endocarditis / Q000150:complications* / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D008945:Mitral Valve Prolapse / Q000209:etiology* / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome