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A case report supporting early surgery in mitral valve infective endocarditis with recurrent cerebral infarcts

Year: 2024

Type: article

Abstract: Background: In patients with infective endocarditis, brain embolism portends a poor prognosis. The timing of surgery in patients who require emergency valve surgery in the setting of deteriorating level of consciousness from recurrent embolic events, and brain infarction with haemorrhagic transformation, remains controversial. Case summary: mitral valve endocarditis, recurrent episodes of cerebral embolic infarctions with haemorrhagic transformation and deteriorating level of consciousness, and successfully underwent emergency mitral valve surgery without extension of the preoperative cerebral embolic complication or worsening of neurological symptoms. Discussion: Mitral valve surgery can be performed successfully in patients with mitral valve endocarditis and cerebral embolism earlier than the recommended 2-4 weeks, and this should be considered in deteriorating patients.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytae641

Authors: Emeka B Kesieme, Benjamin Omoregbee, Dumbor L Ngaage

Institution: Castle Hill Hospital

Language: English

Topic: Infective Endocarditis Diagnosis and Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $819