One-Stage Mitral Valve Replacement And Splenectomy In Splenic Infarcts And Infective Endocarditis

Infective endocarditis associated with spleen infarcts is common and very complicated condition. Splenic lesions in infective endocarditis are presented of infarcts and abscesses. Operative mortality in such patients is high. The septic status, heart failure, hemodynamic instability, renal dysfunction make the success much difficult. Use of abdominal Computed Tomography to locate infectious sources is of paramount importance for the treatment plan. We present one case of infective endocarditis, complicated by infected splenic infarcts and heart failure. On urgent conditions we performed one-stage mitral valve replacement and splenectomy.