Surgical Treatment of Apical Abscess Associated with Mitral Valve Infective Endocarbitis.
10.4326/jjcvs.28.101
- VernacularTitle:心尖部心筋内膿ようを合併した僧帽弁感染性心内膜炎の１治験例
- Author:
Yasuyuki Kato
;
Hirotaka Murata
;
Koji Kitai
;
Takashi Yasuoka
;
Sukemasa Mukai
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(2):101-104
- CountryJapan
- Language:Japanese
-
Abstract:
Infective endocarditis with apical abscess is very rare. A 49-year-old man was admitted in a diabetic coma. The next day, he suddenly developed chest pain and headache. Echocardiogram revealed mitral valve vegetations and mitral regurgitation, and brain CT showed multiple cerebral hemorrhage that was thought to be due to cerebral embolism. Surgery was performed on the 10th hospital day for progressive heart failure. During surgery, an abscess was noted at the apex, but the abscess cavity was not connected to the cardiac cavity. The mitral valve was replaced, and the abscess cavity was resected. The defect of the ventricle was repaired with an 8×5cm Goretex sheet. Cultures of blood, vegetation, and the abscess were negative. It was thought that the abscess formation in the apex was caused by infectious coronary embolism, since cerebral embolism and chest pain happened simultaneously, and the abscess cavity was isolated and not in communication with the cardiac cavity.
