Mitral valve surgery with surgical embolectomy for mitral valve endocarditis complicated by septic coronary embolism
- Authors
- Baek, Man-Jong; Kim, Hyun Koo; Yu, Cheol Woong; Na, Chan-Young
- Issue Date
- 1월-2008
- Publisher
- OXFORD UNIV PRESS INC
- Keywords
- coronary embolism; embolectomy; acute myocardial infarction; endocarditis
- Citation
- EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, v.33, no.1, pp.116 - 118
- Indexed
- SCIE
SCOPUS
- Journal Title
- EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
- Volume
- 33
- Number
- 1
- Start Page
- 116
- End Page
- 118
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/124526
- DOI
- 10.1016/j.ejcts.2007.09.024
- ISSN
- 1010-7940
- Abstract
- Acute myocardial infarction (AMI) complicated by septic coronary embolism due to active infective endocarditis is rare but usually fatal. We report a case of successful mitral valve surgery with surgical embolectomy in a 27-year-old man with an AMI complicated by septic coronary embolism due to mitral valve endocarditis. A chest radiograph revealed cardiomegaly and marked pulmonary edema. A transthoracic echocardiogram disclosed severe mitral regurgitation with highly mobile vegetations and hypokinesia of the left ventricutar apex. The electrocardiographic findings of ST segment elevation in leads V2-4 and elevated cardiac enzyme levels were strongly suggestive of an acute anterolateral AMI. Nevertheless, emergent cardiac surgery was needed without selective coronary angiography because of intractable heart failure and life-threatening ventricutar tachyarrhythmia requiring cardiopulmonary resuscitation. A total occlusion of the distal left anterior descending artery caused by embolic vegetation and thrombus, which was incidentally detected intraoperatively, was successfully recanalized by surgical embolectomy and thrombectomy using a direct coronary incision. The mitral valve endocarditis was managed with wide debridement and mechanical valve replacement. Three years after the surgery a follow-up echocardiogram showed no abnormalities of the regional wait, motion in the left ventricle and the patient is living an active life without any complications. (c) 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
- Graduate School > Department of Biomedical Sciences > 1. Journal Articles
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