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Performance of the fontan procedure using extra-cardiac direct anastomosis on patients treated for penicillin-resistant Streptococcus pneumoniae endocarditis

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Abstract

Streptococcus pneumoniae is now a rare cause of endocarditis in humans. We report a patient with a double outlet right ventricle and mitral atresia, who underwent the Fontan procedure without prosthetic materials after treatment for penicillin-resistant Streptococcus pneumoniae endocarditis. Postoperative infectious endocarditis was not found. In patients with a history of infectious endocarditis, direct anastomosis of the main pulmonary artery and inferior vena cava would reduce the risk of recurrent infectious endocarditis.

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References

  1. Siegel M, Timpone J. Penicillin-resistant Streptococcus pneumoniae endocarditis: A case report and review. Clin Infect Dis 2001; 32: 972–4.

    Article  PubMed  CAS  Google Scholar 

  2. Aronin SI, Mukherjee SK, West JC, Cooney EL. Review of pneumococcal endocarditis in adults in the penicillin era. Clin Infect Dis 1998; 26: 165–71.

    PubMed  CAS  Google Scholar 

  3. Powderly WG, Stanley SL Jr, Medoff G. Pneumococcal endocarditis: Report of a series and review of the literature. Rev Infect Dis 1986; 8: 786–91.

    PubMed  CAS  Google Scholar 

  4. Wolff M, Regnier B, Witchitz S, Gibert C, Amoudry C, Vachon F. Pneumococcal endocarditis. Eur Heart J 1984; 5 Suppl C: 77–80.

    PubMed  Google Scholar 

  5. Hansman D, Bullen MM. A resistant pneumococcus. Lancet 1967; 290: 264–5.

    Article  Google Scholar 

  6. Okumura A, Ito K, Kondo M, Takahashi H, Hayakawa F, Ogawa A, et al. Infective endocarditis caused by highly penicillin-resistant Streptococcus pneumoniae: Successful treatment with cefuzonam, ampicillin and imipenem. Pediatr Infect Dis J 1995; 14: 327–9.

    Article  PubMed  CAS  Google Scholar 

  7. Johnson CM, Rhodes KH. Pediatric endocarditis. Mayo Clin Proc 1982; 57: 86–94.

    PubMed  CAS  Google Scholar 

  8. Whitby S, Pallera A, Schaberg DR, Bronze MS. Infective endocarditis caused by Streptococcus pneumoniae with high-level resistance to penicillin and cephalosporin. Clin Infect Dis 1996; 23: 1176–7.

    PubMed  CAS  Google Scholar 

  9. Lefort A, Mainardi JL, Selton-Suty C, Casassus P, Guillevin L, Lortholary O. Streptococcus pneumoniae endocarditis in adults. A multicenter study in France in the era of penicillin resistance (1991–1998). The Pneumococcal Endocarditis Study Group. Medicine (Baltimore) 2000; 79: 327–37.

    Article  CAS  Google Scholar 

  10. Carotti A, Iorio FS, Amodeo A, Giamberti A, Marianeschi S, Nava S, et al. Total cavopulmonary direct anastomosis: A logical approach in selected patients. Ann Thorac Surg 1993; 56: 963–4.

    Article  PubMed  CAS  Google Scholar 

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Takabayashi, S., Shimpo, H., Miyake, Y. et al. Performance of the fontan procedure using extra-cardiac direct anastomosis on patients treated for penicillin-resistant Streptococcus pneumoniae endocarditis. Jpn J Thorac Caridovasc Surg 53, 176–179 (2005). https://doi.org/10.1007/s11748-005-0029-3

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  • DOI: https://doi.org/10.1007/s11748-005-0029-3

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