TITLE:
Surgical Management of Mitral Valve Infective Endocarditis with Accidental Finding of Open Pulmonary Tuberculosis
AUTHORS:
Ahmad Al Khaddour, Mohammed Alharthi, Alawab M. Mesallam, Mohamed Agawi, Mahmoud Ghalwash, Ahmed Gotbi, Mohamed Abdel Hafez Fouly, Marko Samanovic, Nelson David Vega, Murad El Gharbi, Fawaz Altaf
KEYWORDS:
Tuberculosis (TB), Mycobacterium tuberculosis (MTB), Heater-Cooler and Bypass Machine, New York Heart Association (NYHA)
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.14 No.5,
May
17,
2024
ABSTRACT: Objective: This case report aimed to highlight intersections of TB and Cardiovasular diseases which carry high morbidity and mortality rates. Methods: We are reporting the surgical management of forty seven years female who had back ground history of IDDM (Insulin dependent diabetic Mellitus), ESRD (End stage renal disease) on HD (haemodialysis) also she had left subclavian artery stenosis, and paroxysmal atrial fibrillation. She was diagnosed with mitral valve infective endocarditis and found accidently to have an open pulmonary tuberculosis (TB) on the day before surgery. Results: She was started on first line anti-TB treatment. She was isolated in her private room and airborne precautions measures applied. The patient underwent a tissue Mitral Valve replacement and tricuspid valve repair annuloplasty. Special precautions were applied in Theatre and on cardiopulmonary bypass Machine guided by KAMC-J disinfection protocol. The patient made good recovery postoperatively. She was discharged well on day 7 post operatively. Conclusion: Intersections of TB and cardiovasular diseases carry high morbidity and mortality rates. Early diagnosis and early anti tuberculosis treatment can surely improve the patient prognosis. Our decontamination and disinfective procedures are recommended. Cases like this should be monitored long term for the development of further cardiovascular complication.