Mitral valve repair for infective endocarditis after esophageal reconstruction: a case report.
Surg Case Rep
; 10(1): 37, 2024 Feb 09.
Article
in En
| MEDLINE
| ID: mdl-38332244
ABSTRACT
BACKGROUND:
In patients with retrosternal neo-esophageal conduit after right thoracotomy, the approach to cardiac surgery could be challenging. Particularly, in patients with infective endocarditis, there is a risk of injury to the conduit through standard median sternotomy. Moreover, right lung adhesions could be predicted. Herein, we present a case of successful mitral valve repair in a patient with infective endocarditis through a redo right thoracotomy after esophageal reconstruction. CASE PRESENTATION A 66-year-old male patient was diagnosed with infective endocarditis and a large anterior mitral leaflet vegetation after a previous esophageal reconstruction via right thoracotomy for esophageal cancer. Due to the retrosternal esophageal reconstruction, we performed a mitral valve repair through a redo right thoracotomy. After resecting the vegetation, the defect was closed with a fresh autologous pericardial patch. Mitral valve annuloplasty was performed. Postoperatively, antibiotics controlled the infection. The patient was discharged on postoperative day 30.CONCLUSIONS:
Successful mitral valve repair was performed for infective endocarditis through a redo right thoracotomy after esophageal reconstruction.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Prognostic_studies
Language:
En
Journal:
Surg Case Rep
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: