Mitral valve endocarditis due to Abiotrophia defectiva in a 14th week pregnant woman.
Infective endocarditis during pregnancy carries a high mortality risk, both for the mother and for the foetus and requires a multidisciplinary team in the management of complicated cases. We report our experience with a 39-year old patient, affected by an acute active mitral endocarditis due to Abiotrophia defectiva at the 14th gestational week, strongly motivated to continue the pregnancy. Our patient successfully underwent mitral valve replacement with a normothermic high-flow cardiopulmonary bypass under continuous intraoperative foetal monitoring. Caesarean section occurred at the 38th gestational week. The delivery was uneventful and both the mother and child are doing well at the 16-month follow-up.
Department of Cardiac Surgery, Niguarda Hospital, Milan, Italy allucbot@tiscali.it.
Luca
L
Botta
Department of Gynecology, Niguarda Hospital, Milan, Italy.
Roberto
R
Merati
Department of Paediatric Cardiology, Niguarda Hospital, Milan, Italy.
Gabriele
G
Vignati
Department of Infectious Diseases, Niguarda Hospital, Milan, Italy.
Carlo Andrea
CA
Orcese
Department of Cardiology, Niguarda Hospital, Milan, Italy.
Benedetta
B
De Chiara
Department of Cardiac Surgery, Niguarda Hospital, Milan, Italy.
Aldo
A
Cannata
Department of Cardiac Surgery, Niguarda Hospital, Milan, Italy.
Giuseppe
G
Bruschi
Department of Cardiac Surgery, Niguarda Hospital, Milan, Italy.
Pasquale
P
Fratto
D058835:Abiotrophia / Q000302:isolation & purification*; D000328:Adult; D002585:Cesarean Section; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious
Abiotrophia defectiva; Endocarditis; Mitral valve; Pregnancy