title: Replacement of A2 and A3 by pericardium due to endocarditis of the anterior leaflet of the mitral valve.
abstract: We present a case of acute endocarditis due to enterococcus faecalis involving partially A2 and completely A3 (Carpentier classification) with destruction of the free margin of the mitral valve. Repair was performed by using glutaraldehyde treated porcine pericardium to replace the defect and neochordae of polytetrafluoroethylene sutured to the free margin of the pericardium to achieve competence. Intraoperative and follow-up echocardiogaphies showed no regurgitation.
authors.affiliation: Department of Cardiovascular Surgery, Hospital Virgen Macarena, Seville, Spain. oharaji@hotmail.com
authors.forename: Omar A
authors.initials: OA
authors.lastname: Araji
authors.forename: Jose M
authors.initials: JM
authors.lastname: Barquero
authors.forename: Manuel
authors.initials: M
authors.lastname: Almendro
authors.forename: Maria Angeles
authors.initials: MA
authors.lastname: Gutierrez
authors.forename: Mariano
authors.initials: M
authors.lastname: Garcia-Borbolla
authors.forename: Carlos J
authors.initials: CJ
authors.lastname: Velázquez
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Infantes
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D002815:Chordae Tendineae / Q000601:surgery; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D005260:Female; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000382:microbiology; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation*; D011138:Polytetrafluoroethylene; D011300:Preoperative Care; D018570:Risk Assessment; D013536:Suture Techniques; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D011138:Polytetrafluoroethylene