Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Quadriplegia after Mitral Valve Replacement in an Infective Endocarditis Patient with Cervical Spine Spondylitis

  • Lee, Ji Min (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Heo, Seon Yeong (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Dong Kyu (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jung, Jong Pil (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Chang Ryul (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Yong Jik (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Gwan Sic (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
  • Received : 2020.05.20
  • Accepted : 2020.09.01
  • Published : 2021.06.05
Download PDF
⟨ Previous Next ⟩

Abstract

The simultaneous incidence of infective endocarditis and cervical spondylitis with an epidural abscess is rare, and quadriplegia as a complication after cardiac surgery is very rare. We recently observed quadriplegia after mitral valve replacement in an infective endocarditis patient with cervical spine spondylitis. With early symptom detection, immediate examination, and prompt surgical treatment, the patient successfully recovered without neurological symptoms.

Keywords

References

  1. Oh JS, Shim JJ, Lee KS, Doh JW. Cervical epidural abscess: rare complication of bacterial endocarditis with Streptococcus viridans: a case report. Korean J Spine 2015;12:22-5. https://doi.org/10.14245/kjs.2015.12.1.22
  2. Hwang NC, Singh P, Chua YL. Quadriparesis after cardiac surgery. J Cardiothorac Vasc Anesth 2008;22:587-9. https://doi.org/10.1053/j.jvca.2008.01.022
  3. Samiotis I, Baikoussis NG, Patris V, Argiriou M, Dedeilias P, Charitos C. Coronary artery bypass grafting and paraparesis; is there a correlation? Cardiovasc J Afr 2018;29:e6-8. https://doi.org/10.5830/CVJA-2018-004
  4. Tan AK, Naik MJ, Chua YL. Quadriplegia post-coronary artery bypass graft surgery: an unusual case. Asian Cardiovasc Thorac Ann 2018;26:390-1. https://doi.org/10.1177/0218492317728664
  5. Fujioka S, Niimi Y, Hirata K, Nakamura I, Morita S. Tetraplegia after coronary artery bypass grafting. Anesth Analg 2003;97:979-80.
  6. Baek WK, Kim YS, Kim JT, Yoon BN. Critical illness neuromyopathy complicating cardiac surgery. Acute Crit Care 2018;33:51-6. https://doi.org/10.4266/acc.2016.00255
  7. Siddiq F, Chowfin A, Tight R, Sahmoun AE, Smego RA Jr. Medical vs surgical management of spinal epidural abscess. Arch Intern Med 2004;164:2409-12. https://doi.org/10.1001/archinte.164.22.2409
  8. Sorensen P. Spinal epidural abscesses: conservative treatment for selected subgroups of patients. Br J Neurosurg 2003;17:513-8. https://doi.org/10.1080/02688690310001627731
  9. Sambola A, Miro JM, Tornos MP, et al. Streptococcus agalactiae infective endocarditis: analysis of 30 cases and review of the literature, 1962-1998. Clin Infect Dis 2002;34:1576-84. https://doi.org/10.1086/340538
  10. Heusner AP. Nontuberculous spinal epidural infections. N Engl J Med 1948;239:845-54. https://doi.org/10.1056/NEJM194812022392301