Key result
Mitral valve repair and septal abscess drainage succeed in a two-year-old with extensive infective endocarditis.
Case Report (n=1)
This case report describes the successful surgical management of extensive infective mitral valve endocarditis with widespread interventricular septal abscesses in a pediatric patient.
Illustrates feasibility of complex repair in rare pediatric endocarditis with abscess; leaves open need for larger series to guide practice.
We present the case of a previously healthy 2-year-old boy with extensive infective mitral valve endocarditis, with 2 huge, mobile vegetations attached to the anterior leaflet of the mitral valve and to the left ventricular outflow tract, and interventricular septal abscesses extending into the left ventricular outflow tract without any septal defects. He underwent mitral valve repair and simultaneous drainage of the interventricular septal abscesses excluding the inlet portion to avoid postoperative complications.
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Ishimaru et al. (2020) conducted a case report in Active mitral valve endocarditis with widespread interventricular septal abscesses (n=1). Mitral valve repair and simultaneous drainage of the interventricular septal abscesses was evaluated. Mitral valve repair and simultaneous drainage of interventricular septal abscesses were successfully performed in a 2-year-old boy with extensive infective mitral valve endocarditis.
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