Mitral valve repair in a child with infectious endocarditis followed by meningitis.

A one-year-old boy without congenital cardiac anomaly suffered from meningitis and subsequent acute infective endocarditis that resulted in mitral regurgitation. During antibiotic therapy and management of congestive heart failure, he suddenly developed an acute subdural hematoma, and an aneurysm of the cerebral artery was detected by brain computed tomography. Clipping of the aneurysm was performed by neurosurgery, and 9 days after clipping, we performed mitral valve repair. Kay-Reed annuloplasty was performed and annulus size was reduced from 20 to 16 mm, and edge to edge repair of anterior and posterior leaflets near the commissure to reconstruct ruptured anterior leaflet chordae. This method is easy and useful to control mitral regurgitation when mitral chordae are detached from near commissure especially in child case.