title: Performance of the Fontan procedure using extra-cardiac direct anastomosis on patients treated for penicillin-resistant Streptococcus pneumoniae endocarditis.
abstract: Streptococcus pneumoniae is now a rare cause of endocarditis in humans. We report a patient with a double outlet right ventricle and mitral atresia, who underwent the Fontan procedure without prosthetic materials after treatment for penicillin-resistant Streptococcus pneumoniae endocarditis. Postoperative infectious endocarditis was not found. In patients with a history of infectious endocarditis, direct anastomosis of the main pulmonary artery and inferior vena cava would reduce the risk of recurrent infectious endocarditis.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Mie, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Takabayashi
authors.forename: Hideto
authors.initials: H
authors.lastname: Shimpo
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Miyake
authors.forename: Koji
authors.initials: K
authors.lastname: Onoda
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Sawada
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Mitani
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D000714:Anastomosis, Surgical / Q000379:methods; D002675:Child, Preschool; D004310:Double Outlet Right Ventricle / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy*; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000379:methods*; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D010403:Penicillin Resistance; D011008:Pneumococcal Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D018570:Risk Assessment; D013296:Streptococcus pneumoniae / Q000187:drug effects; D016896:Treatment Outcome; D018785:Tricuspid Atresia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*