title: Emergent mitral valvuloplasty with an autologous pericardial patch in an octogenarian with active infective endocarditis.
abstract: An 83-year-old woman with suppurative spondylitis was referred to our hospital due to active infective endocarditis with an expanding mobile vegetation and a high echoic mass on the posterior mitral leaflet. During the operation, the high echoic mass was found to be a chronically organized abscess, which was located at the base of the vegetation on the posterior leaflet and extended toward the annulus. The patient underwent a successfully emergent resection of the vegetation and mass, and valvuloplasty using an autologous pericardial patch with an excellent outcome.
authors.affiliation: From Department of Cardiovascular Surgery, Ureshino Medical Center, Saga, Japan.
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Matsuyama
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ueno
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Ikeda
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004697:Endocarditis, Bacterial / Q000601:surgery*; D005260:Female; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*