A Case of Marfan Syndrome with Impacted Teeth Extraction after Artificial Valve Replacement Surgery

Abstract

We present the case of a Japanese woman in her 20s with three wisdom teeth including impacted teeth that were extracted under general anesthesia with heparin bridging after she underwent an artificial valve replacement due to aortic dissection with Marfan syndrome in 201X.
When Marfan syndrome patients have cardiovascular malformations or heart diseases, caries and periodontal disease may cause infective endocarditis, so thorough management is important. Based on findings of intraoral examination and panoramic imaging the patient was diagnosed with pericoronitis of the left maxillary wisdom tooth, partial impaction of the right lower wisdom tooth, and impaction of the left lower wisdom tooth. Heparin bridging and preoperative antibiotic administration were decided in consultation with the doctor who had performed the cardiovascular surgery. The postoperative course was uneventful, and the patient was discharged.