title: [Surgical treatment for infective prosthetic mitral valve endocarditis with cardiogenic shock; report of a case].
abstract: We report a surgical case of active infective prosthetic mitral valve endocarditis with cardiogenic shock. The causative organism was methicillin-resistant coagulase negative Staphylococci (MRCNS) During medical treatment, the prosthetic valve was abruptly detouched partially from the mitral annulus, and the patient developed rapid hemodynamic deterioration. We performed emergency re-do mitral valve replacement. The postoperative course was uneventful. Rapid establishment of femoro-femoral bypass was very effective for the emergency re-do valve surgery.
authors.affiliation: Department of Cardiovascular Surgery, Takeda Hospital, Kyoto, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Paku
authors.forename: Takahide
authors.initials: T
authors.lastname: Takeda
authors.forename: Hisashi
authors.initials: H
authors.lastname: Sakaguchi
mesh_terms: D004697:Endocarditis, Bacterial / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000009:adverse effects; D016106:Methicillin Resistance; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000601:surgery; D013210:Staphylococcus; D016896:Treatment Outcome