Manouguian手術を要したAbiotrophia defectivaによる感染性心内膜炎の1例

Infective Endocarditis Caused by Abiotrophia defectiva Required Double-valve Replacement Using the Manouguian Procedure

はじめに　感染性心内膜炎（IE）の外科的治療において，感染した組織の徹底的な除去が重要である1）．Abiotrophia defectiva（A. defectiva）による高度な弁破壊を認めたIEに対してManouguian法を用いた二弁置換術を行った症例を経験したので報告する．

A 39-year-old man was presented with infective endocarditis caused by Abiotrophia defectiva. Transesophageal echocardiography revealed extensive vegetation and destruction extending from the aortic valve to the aortic-mitral curtain and mitral valve accompanied by severe regurgitation of the aortic and mitral valves. After removal of vegetation, double-valve replacement were performed with double patch and mechanical prosthesis using the manouguian procedure.