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  • Title: Mitral valve repair in active infective endocarditis with cerebral infarction.
    Author: Okada K, Shirasaka T, Kano H, Okita Y.
    Journal: Asian Cardiovasc Thorac Ann; 2013 Apr; 21(2):215-7. PubMed ID: 24532626.
    Abstract:
    A 19-year-old woman, who had a recent extensive cerebral infarction caused by a septic embolization in the left-sided territory of the middle cerebral artery, successfully underwent mitral valve repair for severe mitral regurgitation caused by active infective endocarditis, 24 h after the onset of stroke. Anticoagulation during cardiopulmonary bypass was maintained with low-dose heparin and additional nafamostat mesilate. She had no further aggravation of the brain complication and recovered well with midterm mitral valve durability.
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