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7090706 
Journal Article 
Pediatric Case of Staphylococcus lugdunensis-Induced Infective Endocarditis at Bovine Jugular Vein 
Hirose, K; Ikai, A; Nagato, H; Murata, M; Imai, K; Kanno, K; Ishidou, M; Ota, K; Iwafuchi, H; Sakamoto, K; , 
2019 
Yes 
Annals of Thoracic Surgery
ISSN: 0003-4975
EISSN: 1552-6259 
ELSEVIER SCIENCE INC 
NEW YORK 
E185-E187 
English 
30771326 
WOS:000482187400012 
A 2-year-old boy underwent repeat right ventricular outflow tract reconstruction (re-RVOTR) with a bovine jugular vein (BJV) graft. He presented with high fever on postoperative day 6. Blood and drainage effusion cultures were all positive for Staphylococcus lugdunensis and vancomycin was prescribed. Echocardiography showed vegetation at the BJV. Re-re-RVOTR was performed 51 days after re-RVOTR. In the operation, vegetation was adhered to the right-sided leaflet and three leaflets were degenerated. After complete BJV graft resection, an expanded polytetrafluoroethylene conduit with trileaflets was implanted. There was no sign of recurrent infection 8 months after the surgery.