Skip to main content
SpringerLink
Log in

Reconstruction of mitral valve chordae and leaflets with one piece of autologous pericardium in extensively destructed mitral valve due to active infective endocarditis

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 20-year-old female patient underwent urgent surgery for extensive mitral valve endocarditis. All marginal chordae and rough zone of A3 leaflet, posterior commissure leaflet, and P3 leaflet down to the annulus became defective after complete debridement of infected tissues. After annular plication, defective leaflets and chordae were reconstructed with a piece of triangular shaped autologous pericardium. Top of the pericardium was directly attached to the posterior papillary muscle, side edges to remnant leaflets, and the base to the annulus, thus substituting for chordae and leaflets at once. No mitral regurgitation was observed during 3 years of follow-up after the operation.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Ruttmann E, Legit C, Poelzl G, Mueller S, Chevtchik O, Cottogni M, et al. Mitral valve repair provides improved outcome over replacement in active infective endocarditis. J Thorac Cardiovasc Surg. 2005;130:765–71.

    Article  PubMed  Google Scholar 

  2. de Kerchove L, Price J, Tamer S, Glineur D, Momeni M, Noirhomme P, et al. Extending the scope of mitral valve repair in active endocarditis. J Thorac Cardiovasc Surg. 2012;143:S91–5.

    Article  PubMed  Google Scholar 

  3. Araji OA, Barquero JM, Almendro M, Gutierrez MA, Garcia-Borbolla M, Velázquezet CJ, et al. Replacement of A2 and A3 by pericardium due to endocarditis of the anterior leaflet of the mitral valve. Ann Thorac Surg. 2009;87:653–4.

    Article  PubMed  Google Scholar 

  4. Shin H, Mori M, Yamabe K, Iwanaga S. Reconstruction of the free margin of the anterior mitral leaflet with autologous pericardium in active infected endocarditis. Eur J Cardiothorac Surg. 2011;39:784–5.

    Article  PubMed  Google Scholar 

  5. Ushijima T, Kikuchi Y, Tanaka M, Yamamoto Y, Kawauchi K, Watanabe G. Commissural autologous pericardial patch repair: a novel technique for active mitral valve endocarditis involving the mitral annulus. Ann Thorac Surg. 2009;88:e29–30.

    Article  PubMed  Google Scholar 

  6. Takagi Y, Higuchi Y, Kondo H, Akita K, Ishida M, Kaneko K, et al. The importance of preoperative magnetic resonance imaging in valve surgery for active infective endocarditis. Gen Thorac Cardiovasc Surg. 2011;59:467–71.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, 3-35 Michishita-cho, Nakamura-ku, Nagoya, 453-8511, Japan

    Toshiaki Ito, Atsuo Maekawa, Sadanari Sawaki, Genyo Fujii, Satoshi Hoshino & Yasunari Hayashi

Authors
  1. Toshiaki Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Atsuo Maekawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sadanari Sawaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Genyo Fujii
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Satoshi Hoshino
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yasunari Hayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Toshiaki Ito.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ito, T., Maekawa, A., Sawaki, S. et al. Reconstruction of mitral valve chordae and leaflets with one piece of autologous pericardium in extensively destructed mitral valve due to active infective endocarditis. Gen Thorac Cardiovasc Surg 61, 571–573 (2013). https://doi.org/10.1007/s11748-012-0195-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-012-0195-z

Keywords

Search

Navigation