Successful surgical treatment for methicillin-resistant Staphylococcus aureus endocarditis on the ventricular rerouting patch after a Rastelli operation

We report a very rare case of successful surgical treatment for methicillin-resistant Staphylococcus aureus endocarditis on the Dacron patch utilized for ventricular rerouting in a Rastelli operation. Vegetations were found on the right side of the patch associated with a large laceration. The patient underwent removal of the patch followed by reventricular rerouting and replacement of the right ventricle to pulmonary artery conduit. The postoperative course was uneventful. To the best of our knowledge, this is the first reported case of postoperative infective endocarditis on this location.