title: Successful surgical treatment for methicillin-resistant Staphylococcus aureus endocarditis on the ventricular rerouting patch after a Rastelli operation.
abstract: We report a very rare case of successful surgical treatment for methicillin-resistant Staphylococcus aureus endocarditis on the Dacron patch utilized for ventricular rerouting in a Rastelli operation. Vegetations were found on the right side of the patch associated with a large laceration. The patient underwent removal of the patch followed by reventricular rerouting and replacement of the right ventricle to pulmonary artery conduit. The postoperative course was uneventful. To the best of our knowledge, this is the first reported case of postoperative infective endocarditis on this location.
authors.affiliation: Department of Cardiovascular Surgery, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. s-yuchi@heart.med.kyushu-u.ac.jp
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Shiokawa
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Nakashima
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Tanoue
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tominaga
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents