Repair of Unicuspid Aortic Valve and Mitral Valve Aneurysm Secondary Involved with Intectious Endocarditis
10.4326/jjcvs.39.86
- VernacularTitle:感染性心内膜炎から僧帽弁瘤を形成した先天性単尖大動脈弁の1例
- Author:
Shun Watanabe
;
Tatsuhiko Komiya
;
Genichi Sakaguchi
;
Joji Ito
- Publication Type:Journal Article
- Keywords:
intectious endocarditis;
mitral valve aneurysm;
unicuspid aortic valve
- From:Japanese Journal of Cardiovascular Surgery
2010;39(2):86-89
- CountryJapan
- Language:Japanese
-
Abstract:
A 25-year-old man with a previous diagnosis of congenital bicuspid aortic valve presented with a fever of unknown origin for 3 months. Transthoracic echocardiography revealed vegetation on the mitral valve leaflet. Transesohageal echocardiography revealed severe aortic regurgitation and a mitral valve leaflet aneurysm. Despite intensive antibiotic therapy, his clinical condition did not improve, so he underwent aortic and mitral valve repair. The aortic valve was shown to be unicuspid intraoperatively. We made a new commissure, then mitral valve aneurysm was resected and a new leaflet was made using the pericardium. There was almost no regurgitation seen on postoperative echocardiography.
