A pediatric case of Staphylococcus lugdunensis-induced infective endocarditis at bovine jugular vein

Publication date: Available online 13 February 2019Source: The Annals of Thoracic SurgeryAuthor(s): Keiichi Hirose, Akio Ikai, Hisao Nagato, Masaya Murata, Kenta Imai, Kazuyoshi Kanno, Motonari Ishido, Keisuke Ota, Hideto Iwafuchi, Kisaburo SakamotoAbstractA 2-year-old boy underwent right ventricular outflow tract reconstruction (RVOTR) with a bovine jugular vein graft. He presented with high fever on postoperative day 6. Blood and drainage effusion cultures were all positive for S.lugdunensis and vancomycin was prescribed. Echocardiography showed vegetation at the BJV. Re-re-RVOTR was performed 51 days after re-RVOTR.In the operation, vegetation was adhered to the right-sided leaflet and three leaflets were degenerated. After complete BJV graft resection, an expanded polytetrafluoroethylene conduit with tri-leaflets was implanted. There was no sign of recurrent infection 8 months after the surgery.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research