Case Report
MRSA endocarditis of bovine Contegra valved conduit: a case report
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* Corresponding author: Gani Bajraktari ganibajraktari@yahoo.co.uk
1 Service of Cardiology, Internal Medicine Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
2 General Hospital "Isa Grezda", Gjakova, Kosovo
Cases Journal 2009, 2:57 doi:10.1186/1757-1626-2-57
Published: 15 January 2009Abstract
Background
Different techniques are used for the right ventricular outflow tract reconstruction, including homo- or porcine xenografts, which have several limitations. Contegra, a bovine jugular vein graft, is an interesting alternative to overcome these limitations. It consists of a bovine jugular vein with a naturally integrated valve in it. Isolated pulmonary valve endocarditis is extremely rare.
Case presentation
We report the case of a 20 years old male patient with acute endocarditis of bovine Contegra valved conduit, four years after right ventricular outflow tract reconstruction and atrial septal defect correction, associated with acute glomerulonephritis, renal failure and severe anemia, secondary to methicillin-resistant Staphylococcus aureus infection (MRSA).
Conclusion
We present a complex patient with acute endocarditis of bovine Contegra valved conduit. We believe that the presentation of this case should encourage the researchers for the discussing of the implantation of this conduit and the prevention of endocarditis in these patients.