Management of Prosthetic Mitral Valve Infective Endocarditis in a Patient With Congenital Heart Disease

Nadir Emre Herdan; Richard Ferraro; Francoise Adeline Marvel; Stephanie Leigh Alden; Ari Michael Cedars

doi:10.1016/j.jaccas.2024.102290

Management of Prosthetic Mitral Valve Infective Endocarditis in a Patient With Congenital Heart Disease

JACC Case Rep. 2024 Mar 7;29(9):102290. doi: 10.1016/j.jaccas.2024.102290. eCollection 2024 May 1.

Authors

Nadir Emre Herdan¹, Richard Ferraro², Francoise Adeline Marvel², Stephanie Leigh Alden³, Ari Michael Cedars⁴

Affiliations

¹ Bezmialem University School of Medicine, Istanbul, Turkey.
² Johns Hopkins Hospital, Department of Medicine, Division of Cardiology, Baltimore, Maryland, USA.
³ Johns Hopkins Hospital, Department of Medicine, Baltimore, Maryland, USA.
⁴ Johns Hopkins University, Divisions of Pediatric and Adult Cardiology, Baltimore, Maryland, USA.

Abstract

We present the case of an adult patient with Kartagener's syndrome, multiple prior sternotomies, and recurrent prosthetic valve endocarditis, a scenario without clear guidelines to direct management. Ultimately, the team elected for medical management given the high mortality risk associated with surgery; the patient responded to antibiotic therapy.

Keywords: infective endocarditis; medical management; methicillin-sensitive Staphylococcus aureus; prosthetic valve endocarditis.

Publication types

Case Reports