Left Ventricular Rupture after Embolic Myocardial Infarction Due to Mitral Valve Endocarditis

Caspar, Thibault; Delabranche, Xavier; Mazzucotelli, Jean‐Philippe; Samet, Hafida; Morel, Olivier; Ohlmann, Patrick

doi:10.1111/echo.12508

Cited by 1 publication

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References 4 publications

(6 reference statements)

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“…These factors hasten allograft degeneration, which can lead to structural dysfunction, creating an ideal environment for infection [39,128]. Similar conclusions were reached by researchers in Cleveland [31].…”

Section: Risk Of Allograft Infectionsupporting

confidence: 62%

“…This can potentially cause complications such as stroke and left ventricular dysfunction. In cases of endocarditis involving the mitral valve, there may be dysfunction of the posteromedial papillary muscle with varying degrees of injury to the cords, which can lead to left ventricular rupture [30][31][32][33]. Various population-based reports have shown that patients who underwent surgery had an in-hospital mortality rate of 24%, while those receiving medical therapy had a rate of 26.4%.…”

Section: Introductionmentioning

confidence: 99%

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A Literature Review on the Use of Aortic Allografts in Modern Cardiac Surgery for the Treatment of Infective Endocarditis: Is There Clear Evidence or Is It Merely a Perception?

Nappi,

Schoell,

Spadaccio

et al. 2023

Life

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Infective valve endocarditis is caused by different pathogens and 60% of those involve the aortic valve with valve failure. Although S. aureus is recognized as the most frequently isolated causative bacterium associated with IE in high-income countries, Gram-positive cocci nevertheless play a crucial role in promoting infection in relation to their adhesive matrix molecules. The presence of pili on the surface of Gram-positive bacteria such as in different strains of Enterococcus faecalis and Streptococcus spp., grants these causative pathogens a great offensive capacity due to the formation of biofilms and resistance to antibiotics. The indications and timing of surgery in endocarditis are debated as well as the choice of the ideal valve substitute to replace the diseased valve(s) when repair is not possible. We reviewed the literature and elaborated a systematic approach to endocarditis management based on clinical, microbiological, and anatomopathological variables known to affect postoperative outcomes with the aim to stratify the patients and orient decision making. From this review emerges significant findings on the risk of infection in the allograft used in patients with endocarditis and no endocarditis etiology suggesting that the use of allografts has proved safety and effectiveness in patients with both pathologies.

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Section: Risk Of Allograft Infectionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

A Literature Review on the Use of Aortic Allografts in Modern Cardiac Surgery for the Treatment of Infective Endocarditis: Is There Clear Evidence or Is It Merely a Perception?

Nappi,

Schoell,

Spadaccio

et al. 2023

Life

View full text Add to dashboard Cite

show abstract

Left Ventricular Rupture after Embolic Myocardial Infarction Due to Mitral Valve Endocarditis

Abstract: We report a very rare case of a 43-year-old patient with fatal left ventricular subepicardial aneurysm rupture complicating embolic myocardial infarction due to mitral valve infective endocarditis.

Cited by 1 publication

References 4 publications

A Literature Review on the Use of Aortic Allografts in Modern Cardiac Surgery for the Treatment of Infective Endocarditis: Is There Clear Evidence or Is It Merely a Perception?

A Literature Review on the Use of Aortic Allografts in Modern Cardiac Surgery for the Treatment of Infective Endocarditis: Is There Clear Evidence or Is It Merely a Perception?

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