RESUMEN
We report a surgical case of active infective prosthetic biologic mitral valve endocarditis with hemodynamic deterioration with increasing obstruction of mitral valve. The patient developed rapid hemodynamic deterioration, therefore, we performed emergent re-do mitral valve replacement using SJM prosthetic valve in the setting of supra-annular position. The postoperative course was uneventful.
Asunto(s)
Endocarditis/cirugía , Implantación de Prótesis de Válvulas Cardíacas , Prótesis Valvulares Cardíacas/efectos adversos , Insuficiencia de la Válvula Mitral/cirugía , Válvula Mitral/cirugía , Infecciones Relacionadas con Prótesis/cirugía , Humanos , Insuficiencia de la Válvula Mitral/etiología , ReoperaciónRESUMEN
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.
Asunto(s)
Endocarditis Bacteriana/cirugía , Prótesis Valvulares Cardíacas , Errores Médicos , Válvula Mitral/cirugía , Choque Cardiogénico/etiología , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/microbiología , Prótesis Valvulares Cardíacas/efectos adversos , Humanos , Masculino , Errores Médicos/efectos adversos , Resistencia a la Meticilina , Persona de Mediana Edad , Choque Cardiogénico/cirugía , Staphylococcus , Resultado del TratamientoRESUMEN
We report 2 cases of ruptured type B aortic dissection with thrombosed pseudolumen presenting hemodynamic deterioration which is a life-threatening condition. In such cases, surgical treatment often resulted in high mortality rates. We underwent total arch replacement via median sternotomy. In both cases, postoperative courses were uneventful. This approach ensured us wider operative field to establish cardiopulmonary bypass quickly, and to perform distal anastomosis without much difficulty.
Asunto(s)
Aorta Torácica/cirugía , Disección Aórtica/cirugía , Rotura de la Aorta/cirugía , Trombosis/cirugía , Anciano , Anciano de 80 o más Años , Disección Aórtica/complicaciones , Rotura de la Aorta/etiología , Hemodinámica , Humanos , Masculino , Trombosis/complicaciones , Tomografía Computarizada por Rayos XRESUMEN
Tricuspid valve infective endocarditis( IE) accounts for 5 to 10% of all IE. We encountered a 50-year old man who suffered from tricuspid valve IE presenting paradoxical multiple cerebral embolism with intracranial hemorrhage. On 6th day from his admission, we performed valve replacement for intractable tricuspid infective endocarditis regardless of acute phase of intracranial hemorrhage. The patient had an uneventful postoperative course with no neurological symptoms.