title: Successful aortic valve replacement for infective endocarditis in a patient with severe liver cirrhosis.
abstract: Patients with liver cirrhosis are prone to the development of severe complications associated with high mortality rates after major surgery, especially cardiac surgery using cardiopulmonary bypass (CPB). We report the case of a 65-year-old man with acute infective endocarditis and aortic valve perforation, complicated by non-cardiac liver cirrhosis (Child-Pugh class B). After careful preoperative anti-inflammatory and systemic support treatment, we successfully treated infective endocarditis-induced aortic valve perforation by performing aortic valve replacement (AVR).
authors.affiliation: Division of Cardiovascular Surgery, Department of Medical Bioregulation, Yamaguchi University School of Medicine, Ube, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Takahashi
authors.forename: Tao-Sheng
authors.initials: TS
authors.lastname: Li
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
authors.forename: Akihito
authors.initials: A
authors.lastname: Mikamo
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications / Q000473:pathology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D012720:Severity of Illness Index