Surgical removal of atrial septal defect occlusion device and mitral valve replacement in a 39-year-old female patient with infective endocarditis

• Main Authors: A S Zotov, D V Borisov, T V Klypa, S A Vachev
• Format: Article
• Language: Russian
• Published: ECO-vector 2018-02-01
• Series: Kazanskij Medicinskij Žurnal
• Subjects: окклюдер дефекта межпредсердной перегородки; инфекционный эндокардит; протезирование митрального клапана; недостаточность митрального клапана
• Online Access: https://journals.eco-vector.com/kazanmedj/article/view/7822
• ISSN: 0368-4814; 2587-9359

Atrial septal defects represent the second most frequent congenital heart disease after ventricular septal defects. Transcatheter closure of an atrial septal defect is usually performed following strict indications on patients with significant left-to-right shunt. Infective endocarditis after transcatheter implantation of atrial septal defect occluder is an extremely rare complication. We report a case of infective endocarditis of the mitral valve (with severe mitral valve insufficiency) in a 39-year-old female patient 13 years after transcatheter closure of an atrial septal defect. Complex prophylactic antibiotic coverage was performed prior to surgical intervention. Surgical removal of atrial septal defect occluder, mitral valve replacement, atrial septal defect closure and left atrial appendage resection were performed. Postoperative course was uneventful.