Key result
Small right thoracotomy successfully resolves huge mitral valve vegetation following severe mediastinitis.
Small right thoracotomy is a viable surgical approach for treating mitral valve vegetation in patients with infective endocarditis and concurrent mediastinitis.
Minimally invasive thoracotomy may be feasible for mitral vegetation amid mediastinitis; leaves open need for prospective studies before wider adoption.
An independent 59-year-old Asian man presented with a current history of fever, left shoulder pain and unconsciousness.Contrast-enhanced computed tomography revealed mediastinitis with expansive fluid collection. During the mediastinitis treatment, huge vegetation was sequentially confirmed at the annulus of the mitral valve and was successfully treated via small right thoracotomy.
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Uchida et al. (2021) studied this question. Surgical treatment via small right thoracotomy successfully resolved a huge mitral valve vegetation of infective endocarditis following severe mediastinitis.
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