Paravalvular abscess of the mitral valve with fistula to the left ventricle and detachment of the coronary sinus in a young woman.
作者： Jun Amano , Kohei Takahashi , Tatsuichiro Seto , Takamitsu Terasaki , Yuko Fabish Wada
关键词:
摘要: Infective endocarditis (IE) of the mitral valve (MV) manifesting paravalvular abscess (PA) is challenging. A 30-year-old woman presented with PA fistulating to left ventricle, detachment coronary sinus and systemic embolization. During a course fever unknown origin, patient received laparoscopic surgery under diagnosis strangulating intestinal obstruction due colitis. Following abdominal surgery, having blood flow within it from ventricle was pointed out at ventriculo-atrial junction by transthoracic echocardiography. Emergency performed MV. Abscess debridement followed reconstruction annulus fresh autologous pericardium replacement (MVR) using mechanical prosthetic were successfully performed. Timely accurate early surgical intervention aggressive should improve outcome this high-risk disease.
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