title: [Infective endocarditis with acute embolism to the lower extremity artery caused by a vegetation: report of a case].
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hakodate Municipal Hospital, Hakodate, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Mawatari
authors.forename: O
authors.initials: O
authors.lastname: Izumiyama
authors.forename: H
authors.initials: H
authors.lastname: Satoh
authors.forename: T
authors.initials: T
authors.lastname: Baba
authors.forename: Y
authors.initials: Y
authors.lastname: Kuroda
authors.forename: Y
authors.initials: Y
authors.lastname: Yanase
authors.forename: K
authors.initials: K
authors.lastname: Kuwaki
authors.forename: K
authors.initials: K
authors.lastname: Morishita
mesh_terms: 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