The successful surgical repair of a left ventricular-right atrial communication and aneurysm of the mitral valve caused by infective endocarditis: Report of a case

Yoshikatsu Saiki, Mitsuhiko Kawase, Takao Ida, Eiichi Mannouji, Hitoshi Kasegawa, Yukihirg Takahashi, Toshio Kikuchi, Katsuhiko Tatsuno

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

We report herein the case of a 42-year-old man who developed a left ventricular-right atrial communication and aneurysm of the mitral valve caused by infective endocarditis, which was associated with aortic regurgitation. Based on the findings of congestive heart failure, prolongation of the PR interval, and the added threat of rupture of the mitral aneurysm, surgical treatment was decided upon as the best course of action. The aortic and mitral valves were replaced with prosthetic mechanical valves, and the septal communication was simultaneously closed with a patch. The patient's postoperative course was uneventful and he has been in good health since. Thus, we believe that aggressive surgical intervention for complicated lesions such as those seen in our patient may be life-saving, even in the presence of inflammatory signs.

Original languageEnglish
Pages (from-to)655-658
Number of pages4
JournalSurgery today
Volume24
Issue number7
DOIs
Publication statusPublished - 1994 Jul 1
Externally publishedYes

Keywords

  • aneurysm of the mitral valve
  • infective endocarditis
  • left ventricular-right atrial communication

ASJC Scopus subject areas

  • Surgery

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