A Case of Successful Treatment of Infective Endocarditis Complicated with Intracranial Hemorrhage, and Literature Review

Authors

  • Xu Yong Department of Interventional Radiology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou
  • Zheng Weiliang Department of Interventional Radiology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou
  • Chen Yili Department of Neurosurgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou
  • Zhao Lili Department of Cardiology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou

DOI:

https://doi.org/10.1532/hsf.1397

Abstract

The risks of neurological deteriorations during open heart surgery under heparinization in patients with infective endocarditis complicated by intracranial hemorrhage remain unknown. The optimal timing for heart surgery is still a point of conflict. We report a case in which a young man who had suffered from infective endocarditis complicated with intracranial hemorrhage successfully received mitral valve replacement on day 9 after the onset of intracranial hemorrhage.

References

Byrne JG, Rezai K, Sanchez JA, et al. 2011. Surgical management of endocarditis: the Society of Thoracic Surgeons clinical practice guideline. Ann Thorac Surg 91:2012-19.

Habib G, Hoen B, Tornos P, et al. 2009. ESC Committee for Practice Guidelines. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J 30:2369-413.

van Gijn J, Rinkel GJ. 2001. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 124 (Pt 2):249-78.

Yoshioka D, Toda K, Sakaguchi T, et al. 2014. OSCAR study group. Valve surgery in active endocarditis patients complicated by intracranial haemorrhage: the influence of the timing of surgery on neurological outcomes. Eur J Cardiothorac Surg 45:1082-8.

Published

2015-10-28

How to Cite

Yong, X., Weiliang, Z., Yili, C., & Lili, Z. (2015). A Case of Successful Treatment of Infective Endocarditis Complicated with Intracranial Hemorrhage, and Literature Review. The Heart Surgery Forum, 18(5), E198-E200. https://doi.org/10.1532/hsf.1397

Issue

Section

Articles