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Early cardiac surgery for infective endocarditis with acute extensive cerebral infarction

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Abstract

Early cardiac surgery was successfully performed on a patient with infective endocarditis and extensive cerebral infarction due to septic embolus, following mechanical embolectomy for proximal middle cerebral artery occlusion. Mechanical embolectomy may be useful for the success of early cardiac surgery in these patients.

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References

  1. Berkhemer OA, Fransen PS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015;372:11–20.

    Article  Google Scholar 

  2. Asaithambi G, Adil MM, Qureshi AI. Thrombolysis for ischemic stroke associated with infective endocarditis: results from the nationwide inpatient sample. Stroke. 2013;44:2917–9.

    Article  Google Scholar 

  3. Chung JW, Park SH, Kim N, et al. Trial of ORG 10172 in acute stroke treatment (TOAST) classification and vascular territory of ischemic stroke lesions diagnosed by diffusion-weighted imaging. J Am Heart Assoc. 2014;3. https://doi.org/10.1161/JAHA.114.001119.

  4. Ruttmann E, Willeit J, Ulmer H, et al. Neurological outcome of septic cardioembolic stroke after infective endocarditis. Stroke. 2006;37:2094–9.

    Article  Google Scholar 

  5. Nakatani S, Ohara T, Ashihara K, et al. JCS 2017 guideline on prevention and treatment of infective endocarditis. Circ J. 2019;83:1767–809.

    Article  Google Scholar 

  6. Scharf EL, Chakraborty T, Rabinstein A, Miranpuri AS. Endovascular management of cerebral septic embolism: three recent cases and review of the literature. J Neurointerv Surg. 2017;9:463–5.

    Article  Google Scholar 

  7. Okita Y, Minakata K, Yasuno S, et al. Optimal timing of surgery for active infective endocarditis with cerebral complications: a Japanese multicentre study. Eur J Cardiothorac Surg. 2016;50:374–82.

    Article  Google Scholar 

  8. Hori D, Nomura Y, Ono M, et al. Optimal blood pressure during cardiopulmonary bypass defined by cerebral autoregulation monitoring. J Thorac Cardiovasc Surg. 2017;154:1590–8.

    Article  Google Scholar 

  9. Yoshioka D, Toda K, Okazaki S, Sakaguchi T, Miyagawa S, Yoshikawa Y. Anemia is a risk factor of new intraoperative hemorrhagic stroke during valve surgery for endocarditis. Ann Thorac Surg. 2015;100:16–23.

    Article  Google Scholar 

  10. Patel N, Banahan C, Janus J, et al. Perioperative cerebral microbleeds after adult cardiac surgery. Stroke. 2019;50:336–43.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

    Masashi Toyama & Masato Nakayama

  2. Department of Cardiology, Toyohashi Municipal Hospital, Toyohashi, Japan

    Kenji Fukaya

  3. Department of Neurosurgery, Toyohashi Municipal Hospital, Toyohashi, Japan

    Ryo Yamamoto

Authors
  1. Masashi Toyama
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  2. Masato Nakayama
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  3. Kenji Fukaya
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  4. Ryo Yamamoto
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Corresponding author

Correspondence to Masashi Toyama.

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Informed consent was obtained from the patient for research and further publication.

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No animals were involved in the study.

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Toyama, M., Nakayama, M., Fukaya, K. et al. Early cardiac surgery for infective endocarditis with acute extensive cerebral infarction. Indian J Thorac Cardiovasc Surg 36, 412–415 (2020). https://doi.org/10.1007/s12055-020-00945-w

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  • DOI: https://doi.org/10.1007/s12055-020-00945-w

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