A Case of Redo Mitral Valve Replacement (MVR) Complicated with Prosthetic Valvular Endocarditis (PVE) and Vertebral Osteomyelitis Post MVR
10.4326/jjcvs.35.72
- VernacularTitle:僧帽弁置換術後に感染性心内膜炎，化膿性脊椎炎を発症，再僧帽弁置換術を施行した１治験例
- Author:
Naoto Miyagi
;
Nagahisa Oshima
;
Toshizumi Shirai
;
Makoto Sunamori
- Publication Type:Journal Article
- Keywords:
PVE
- From:Japanese Journal of Cardiovascular Surgery
2006;35(2):72-75
- CountryJapan
- Language:Japanese
-
Abstract:
A 74-year-old woman was given a diagnosis of mitral regurgitation (MR) and tricuspid regurgitaton (TR) underwent mitral valve replacement (MVR) and tricuspid annuloplasty (TAP). Pacemaker implantation was necessary because of postoperative atrial fibrillation (Af) followed by bradycardia on the postoperative day 14. Five months later, she was again admitted to our hospital because of fever. A blood culture revealed Streptococcus sangius. Symptoms improved with the administration of antibiotics. Twenty days after discharge, she suffered back pain and fever. A CT scan showed destructive changes in the thoracic vertebrae and echocardiography revealed mitral vegetations. A blood culture revealed Streptococcus agalactiae. Symptoms subsided with the administration of antibiotics. However, new mitral regurgitation was recognized so the patient underwent redo MVR. The patient's recovery was uncomplicated after surgery, and she was discharged on the 104th post-operative day.
