Challenge in the management of infective endocarditis with multiple valvular involvement

We describe the case of a 41-year-old man with congenital heart disease and infective endocarditis (IE), who presented multiple vegetations attached to the pulmonary, mitral, and aortic valves. Three valve replacements were performed, but the patient developed an abscess at the mitral-aortic interva...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical
Main Authors: Izabella Rodrigues de Araújo, Maria do Carmo Pereira Nunes, Claudio Leo Gelape, Vinicius Tostes Carvalho, Benone Evaristo Rezende Araújo Lacerda, Gustavo Brandão de Oliveira, Luiza Caldeira Brant, Teresa Cristina Abreu Ferrari
Format: Article in Journal/Newspaper
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2012
Subjects:
Infecção
Endocardite
Cirurgia
Valvas
Arctic medicine. Tropical medicine
RC955-962
Arctic
Online Access:https://doi.org/10.1590/S0037-86822012000200028
https://doaj.org/article/33498b258ae143819200df8964e11687
Description
Summary:We describe the case of a 41-year-old man with congenital heart disease and infective endocarditis (IE), who presented multiple vegetations attached to the pulmonary, mitral, and aortic valves. Three valve replacements were performed, but the patient developed an abscess at the mitral-aortic intervalvular fibrosa and died due to sepsis. We briefly discuss the indications for surgery in IE, emphasizing its role in the treatment of uncontrolled infection.

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