Ann Cardiovasc Surg | Volume 2, Issue 1 | Case Report | Open Access

Mitral Valve Repair Using Glutaraldehyde Scrub Disinfection and Fixation for the Treatment of Active Infective Endocarditis on Mitral Annular Calcification: A Case Report

Susumu Isoda^{1 *}, Ryo Izubuchi¹ , Ichiya Yamazaki¹ , Yoshimi Yano² and Munetaka Masuda³

¹Department of Cardiovascular Surgery, Fujisawa City Hospital, Japan ²Department of Cardiology, Yano Heart Clinic, Japan ³Department of Surgery, Yokohama City University, Japan

^*Correspondance to: Susumu Isoda 

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Abstract

An 81-year-old female was admitted to our hospital with fever and arthralgia. Blood culture revealed Streptococcus pyogenes. Echocardiography showed Mitral Annular Calcification (MAC) and absence of vegetation. After two-weeks of antibiotic treatment, the patient suffered chest pain and returned to our hospital. An inferior ST-elevated myocardial infarction was diagnosed; echocardiography revealed vegetation and severe regurgitation. Multi-detector computed tomography showed occlusion of the posterior descending artery. An urgent surgery was performed and a MAC associated with an abscess was observed with vegetation protruding between Left Ventricle (LV) and Left Atrium (LA). The abscess was disinfected, and the fragile tissue was fixed with a Glutaraldehyde (GA) scrub. The mitral annulus was patch-reconstructed using bovine pericardium with concomitant Posterior Mitral Leaflet (PML) augmentation using a bovine pericardial patch.

Keywords:

Infective endocarditis; Mitral annular calcification; Glutaraldehyde, Valve plasty

Citation:

Isoda S, Izubuchi R, Yamazaki I, Yano Y, Masuda M. Mitral Valve Repair Using Glutaraldehyde Scrub Disinfection and Fixation for the Treatment of Active Infective Endocarditis on Mitral Annular Calcification: A Case Report. Ann Cardiovasc Surg. 2019; 2(1): 1018.