title: Mitral valve endocarditis in a patient with Ehlers-Danlos syndrome.
abstract: We report a patient with Ehlers-Danlos syndrome and mitral valve endocarditis. The case was complicated due to the initial septic status of the patient and the fragility of the mitral valve both of which required further early operative intervention. The patient also had pre-existing pulmonary septic emboli, the significance of which was missed prior to the admission to our Unit. Two peripheral arterial aneurysms were identified and corrected surgically on same admission. Possible complications of the syndrome and surgical implications are discussed along with review of the literature.
authors.affiliation: Cardiothoracic Department, Manchester Heart Centre, Manchester Royal Infirmary, CMUH-NHS Trust, Manchester, UK, iokoukis@yahoo.gr.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Koukis
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kingston
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Dedeilias
authors.forename: Brian
authors.initials: B
authors.lastname: Prendergast
mesh_terms: D000783:Aneurysm / Q000209:etiology / Q000601:surgery; D004535:Ehlers-Danlos Syndrome / Q000150:complications* / Q000175:diagnosis; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011655:Pulmonary Embolism / Q000209:etiology / Q000601:surgery; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D014463:Ultrasonography; D055815:Young Adult