[Infective endocarditis with acute embolism to the lower extremity artery caused by a vegetation: report of a case].
Successful surgical treatment of a case of infective endocarditis with embolism to a lower extremity artery is reported. A 71-year-old man was referred to our hospital for the treatment of infective endocarditis. Echocardiography showed a vegetation on the non-coronary cusp of the aortic valve measuring 19 mm in diameter. We planned surgical treatment, including aortic valve replacement, however, embolism of a lower extremity artery by the vegetation occurred during the waiting period for the operation. We removed the offending vegetation from the popliteal artery and replaced the peccant aortic valve with a prosthetic valve in separate operations. The postoperative course was uneventful and the patient was transferred to another hospital on the 33rd day after the valve replacement surgery.
Mawatari
T
T
Department of Thoracic and Cardiovascular Surgery, Hakodate Municipal Hospital, Hakodate, Japan.
Izumiyama
O
O
Satoh
H
H
Baba
T
T
Kuroda
Y
Y
Yanase
Y
Y
Kuwaki
K
K
Morishita
K
K
D000208:Acute Disease; D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D004617:Embolism / Q000209:etiology* / Q000601:surgery*; D004696:Endocarditis / Q000209:etiology* / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D011150:Popliteal Artery; D016896:Treatment Outcome