Performance of the Fontan procedure using extra-cardiac direct anastomosis on patients treated for penicillin-resistant Streptococcus pneumoniae endocarditis

Jpn J Thorac Cardiovasc Surg. 2005 Mar;53(3):176-9. doi: 10.1007/s11748-005-0029-3.

Abstract

Streptococcus pneumoniae is now a rare cause of endocarditis in humans. We report a patient with a double outlet right ventricle and mitral atresia, who underwent the Fontan procedure without prosthetic materials after treatment for penicillin-resistant Streptococcus pneumoniae endocarditis. Postoperative infectious endocarditis was not found. In patients with a history of infectious endocarditis, direct anastomosis of the main pulmonary artery and inferior vena cava would reduce the risk of recurrent infectious endocarditis.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / diagnosis
  • Abnormalities, Multiple / surgery
  • Anastomosis, Surgical / methods
  • Child, Preschool
  • Double Outlet Right Ventricle / complications
  • Double Outlet Right Ventricle / diagnosis
  • Double Outlet Right Ventricle / surgery*
  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / drug therapy*
  • Follow-Up Studies
  • Fontan Procedure / methods*
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / surgery
  • Humans
  • Male
  • Penicillin Resistance*
  • Pneumococcal Infections / complications
  • Pneumococcal Infections / diagnosis
  • Pneumococcal Infections / drug therapy*
  • Risk Assessment
  • Streptococcus pneumoniae / drug effects
  • Treatment Outcome
  • Tricuspid Atresia / complications
  • Tricuspid Atresia / diagnosis
  • Tricuspid Atresia / surgery*