Technique of managing periprosthetic leakage due to mitral prosthetic valve endocarditis: report of a case.
A patient with multiple leaks caused by active mitral prosthetic valve endocarditis with an annular abscess underwent repeat mitral valve replacement. To secure the new mitral prosthesis, sutures were placed through the healthy interatrial septal wall from right to left at the posteromedial region and then to the new prosthetic valve sewing cuff. In the anterolateral region, sutures were placed through the reconstructed annulus after debridement of the abscess and then reinforced with a pericardial xenograft patch. Postoperatively, the perivalvular leakage stopped and the patient recovered uneventfully.
Department of Cardiac Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo, Japan. nkwd@cf6.so-net.ne.jp
Noriyasu
N
Kawada
Yoshimasa
Y
Sakamoto
Ryuuichi
R
Nagahori
Michio
M
Yoshitake
Hirokuni
H
Naganuma
Takahiro
T
Inoue
Gen
G
Shinohara
Kazuhiro
K
Hashimoto
D000368:Aged; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D057867:Endoleak / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve; D012086:Reoperation / Q000379:methods; D013203:Staphylococcal Infections / Q000382:microbiology