Successful mitral valve repair for active infective endocarditis accompanied by anorexia nervosa.
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.
Ando
Yusuke
Y
Department of Cardiovascular Surgery, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Nishida
Takahiro
T
Morita
Shigeki
S
Masuda
Munetaka
M
Tomita
Yukihiro
Y
Tominaga
Ryuji
R
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