Mitral leaflet restoration using a billowing leaflet in active infective endocarditis.
A key to the success of mitral valve repair in patients with infective endocarditis is the technique used for reconstruction of the missing leaflet. We report the case of a 47-year-old man with active mitral infective endocarditis. After dissection of the infected segments of P3 and the posteromedial commissure, the defect was reconstructed using tissue from a billowing A2 medial and A3 segment. Chordal transfer with an anterior chord was performed to correct the A3 mild prolapse. Follow-up echocardiography showed recovery of mitral valve morphology and function without regurgitation.
Department of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki, Japan. Electronic address: takashiren@yahoo.co.jp.
Takashi
T
Miura
Department of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki, Japan.
Shun
S
Nakaji
Department of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki, Japan.
Tsuneo
T
Ariyoshi
Department of Cardiology, Nagasaki University Hospital, Nagasaki, Japan.
Akira
A
Tsuneto
Department of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki, Japan.
Koji
K
Hashizume
Department of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki, Japan.
Kiyoyuki
K
Eishi
D006348:Cardiac Surgical Procedures / Q000379:methods; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D013203:Staphylococcal Infections / Q000601:surgery*
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