Skip to main content
Log in

Post-parturition infectious endocarditis in a patient with a normal mitral valve

  • Case Report
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 29-year-old woman with no history of heart disease was admitted for the treatment of congestive heart failure. Six months earlier, she had given birth, then 20 days later developed a fever and cardiac failure ensued. An echocardiogram demonstrated severe mitral valve regurgitation. Her blood cultures were positive, and we made a diagnosis of mitral valve regurgitation due to infectious endocarditis. Despite treatment for congestive heart failure and antibiotic therapy, resulting in negative blood cultures, her congestive heart failure did not improve, and vegetation on the mitral valve was observed by echocardiography. We successfully removed the infected tissue with mitral valve plasty.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lillehei CW, Gott VL, Dewall RA, Varco RL. Surgical correction of pure mitral insufficiency by annuloplasty under direct vision. Lancet 1957; 77: 446–9.

    CAS  Google Scholar 

  2. Cohn LH, Couper GS, Aranki SF, Rizzo RJ, Kinchla NM, Collins JJ Jr. Long-term results of mitral valve reconstruction for regurgitation of myxomatous mitral valve. J Thorac Cardiovasc Surg 1994; 107: 143–51.

    PubMed  CAS  Google Scholar 

  3. Angell WW, Oury JH, Shah P. A comparison of replacement and reconstruction in patients with mitral regurgitation. J Thorac Cardiovasc Surg 1987; 93: 665–74.

    PubMed  CAS  Google Scholar 

  4. Sareli P, England MJ, Berk MR, Marcus RH, Epstein M, Dricoll J, et al. Maternal and fetal sequelae of anticoagulation during pregnancy in patients with mechanical heart valve prostheses. Am J Cardiol 1989; 63: 1462–65.

    Article  PubMed  CAS  Google Scholar 

  5. Devid TE, Komeda M, Pollick C, Burns RJ. Mitral valve annuloplasty: the effect of the type on the left ventricular function. Ann Thorac Surg 1989; 47: 5245–28.

    Google Scholar 

  6. Tishler MD, Cooper KA, Rowen M, LeWinter MM. Mitral valve repair. A doppler and quantitative stress echocardiographic study. Circulation 1994; 89: 132–7.

    Google Scholar 

  7. Croft CH, Woodward W, Eliot A, Commerford P, Barnard CN, Beck W. Analysis of surgical versus medical therapy in active complicated native valve endocarditis. Am J Cardiol 1983; 51: 1650–5.

    Article  PubMed  CAS  Google Scholar 

  8. Dreyfus G, Serraf A, Jebara VA, Deloche A, Chauvaud S, Couetil JP, et al. Valve repair in acute endcarditis. Am Thorac Surg 1990; 49: 706–13.

    Article  CAS  Google Scholar 

  9. Deloche A, Jebara VA, Relland JYM, Chauvaud S, Febiani JN, Perier P, et al. Valve repair with Carpentier technique. J Thorac Cardiovasc Surg 1990; 99: 990–1002.

    PubMed  CAS  Google Scholar 

  10. Kay JH, Egerton WS. The repair of mitral insufficiency associated with ruptured chordae tendineae. Ann Surg 1963; 157: 351–60.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Murai, N., Katayama, Y., Imazeki, T. et al. Post-parturition infectious endocarditis in a patient with a normal mitral valve. Jpn J Thorac Caridovasc Surg 47, 171–173 (1999). https://doi.org/10.1007/BF03217964

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03217964

Index words

Navigation