Unusual heart transplantation for iterative disinsertion of mitral prosthesis

Asian Cardiovasc Thorac Ann. 2013 Dec;21(6):727-8. doi: 10.1177/0218492312463916. Epub 2013 Jul 9.

Abstract

Heart transplantation is the gold standard of care for end-stage heart failure, usually associated with an impairment of left ventricular systolic function. We describe a case of heart transplantation in a 58-year-old man with normal left ventricular systolic function, because of recurrent mitral prosthesis disinsertion after multiple reoperations for infective endocarditis.

Keywords: Endocarditis; bacterial; heart transplantation; heart valve prosthesis; patient selection; reoperation.

Publication types

  • Case Reports

MeSH terms

  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / microbiology
  • Endocarditis, Bacterial / physiopathology
  • Endocarditis, Bacterial / surgery*
  • Gram-Positive Bacterial Infections / diagnosis
  • Gram-Positive Bacterial Infections / microbiology
  • Gram-Positive Bacterial Infections / physiopathology
  • Gram-Positive Bacterial Infections / surgery*
  • Heart Failure / microbiology
  • Heart Failure / physiopathology
  • Heart Failure / surgery
  • Heart Transplantation*
  • Heart Valve Prosthesis / adverse effects*
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valve Prosthesis Implantation* / instrumentation
  • Humans
  • Male
  • Middle Aged
  • Mitral Valve / microbiology
  • Mitral Valve / physiopathology
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / microbiology
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / surgery*
  • Propionibacterium acnes / isolation & purification*
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / physiopathology
  • Prosthesis-Related Infections / surgery*
  • Reoperation
  • Stroke Volume
  • Systole
  • Treatment Outcome
  • Ventricular Function, Left