title: Successful mitral valve repair for active infective endocarditis accompanied by anorexia nervosa.
abstract: Infective endocarditis of the mitral area accompanied by anorexia nervosa is extremely rare. A 34-year-old Japanese woman presented with high fever and a heart murmur that had developed over the previous 2-month period. Echocardiography revealed mitral regurgitation and vegetation attached to the anterior mitral leaflet, which had markedly prolapsed to the left atrium. We removed the vegetation with a small part of the anterior mitral leaflet and successfully repaired the mitral valve. The patient showed good recovery, and the mitral regurgitation and left ventricular chamber size had satisfactorily decreased at 2 months after the operation.
authors.affiliation: Department of Cardiovascular Surgery, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Ando
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nishida
authors.forename: Shigeki
authors.initials: S
authors.lastname: Morita
authors.forename: Munetaka
authors.initials: M
authors.lastname: Masuda
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Tomita
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tominaga
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000382:microbiology / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology; D013292:Streptococcus agalactiae