A Case Report of Emergency Redo Operation for Active Prosthetic Valve Endocarditis after Bentall's Operation.
10.4326/jjcvs.28.389
- VernacularTitle:大動脈基部置換術（Ｂｅｎｔａｌｌ術）後の人工弁感染に対する再手術の経験
- Author:
Hidenori Sako
;
Tetsuo Hadama
;
Yoshiaki Mori
;
Osamu Shigemitsu
;
Shinji Miyamoto
;
Hirofumi Anai
;
Tohru Soeda
;
Tomoyuki Wada
;
Eriko Iwata
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(6):389-391
- CountryJapan
- Language:Japanese
-
Abstract:
A 39-year-old man received Bentall's operation for annuloaortic ectasia in July 1985. He was admitted with a high fever in July 1998. On the 2nd day of his admission, he suddenly suffered from headache and dizziness. Head computed tomography showed multiple low density areas in the right cerebrum and cerebellum. A transesophageal echocardiogram revealed massive vegetation around the prosthetic valve. The patient underwent emergency operation using cardiopulmonary bypass. The left ventricle outflow was almost occluded by thrombi. The prosthetic valve and graft were removed completely and replaced with a 24mm Gelseal® graft and a 23mm St. Jude Medical® valve. The right coronary ostium was reimplanted directly on the prosthesis, and the left coronary ostium was reinserted using a 10mm graft. The patient's intraoperative tissues grew S. aureus and parenteral antibiotics were administered for 5 weeks after surgery. The patient was discharged on the 45th postoperative day and is doing well 9 months after the operation.
