Conservative surgery of the mitral valve in bacterial endocarditis.

Conservative surgery of the mitral valve in bacterial endocarditis.

Surgical repair of the mitral valve was undertaken in two young female patients during the active phase of bacterial endocarditis to eradicate persistent infection. Operation resulted in rapid resolution of infection with good haemodynamic results in both patients. A mitral valve prosthesis has the disadvantage for children of needing replacement because of growth, and for young women of leadin...

[Severe mitral regurgitation in Libman-Sacks endocarditis. Conservative surgery].

Libman-Sacks endocarditis is a classic but rarely symptomatic manifestation of systemic lupus erythematosus, and valvular surgery is needed in a few cases. We present a patient with systemic lupus erythematosus and Libman-Sacks endocarditis that progressed rapidly to severe mitral regurgitation that needed surgery; surgical valve repair was decided upon. The literature on this topic is reviewed.

Bacterial endocarditis of mitral valve in Marfan syndrome.

An unusual case of bacterial endocarditis in Marfan syndrome is reported. A review of the published reports revealed 21 previously reported cases. The aortic valve, though commonly abnormal in Marfan syndrome, was rarely involved by the endocarditis. In contrast, the mitral valve was the favoured site of infection in these patients. Our own patient had staphylococcal endocarditis of both the ao...

Mitral valve aneurysm in endocarditis.

To the Editor: I read with interest the contribution by Cai et al in the “Images in Cardiovascular Medicine” section of the journal.1 They described a patient who developed severe aortic regurgitation and a mitral valve aneurysm 1 month after successful treatment of Streptococcus mitis endocarditis. The case presentation and the title implied that the mitral valve aneurysm was caused by the eff...

Bacterial Endocarditis Occurring on a Double Mitral Valve.