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A surgical case of triple valve replacement for triple valve endocarditis with multiple vegetations

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Abstract

A 68-year-old man with cerebral infarction and right hemiplegia was diagnosed with active infective endocarditis, and multiple large vegetations and more than moderate valve regurgitation by three different valves were detected using transthoracic echocardiography. An urgent surgical intervention was selected, and aortic and mitral valve replacements using bioprostheses were initially performed due to large vegetation on both these valves with valve cusp destruction. Residual severe regurgitation persisted despite tricuspid valve plasty; therefore, tricuspid valve replacement using a tissue valve was performed, and triple valve replacement was eventually accomplished without any serious hemodynamic compromise. The postoperative clinical course was fair and the patient was discharged after 3 months of inpatient strict management and cardiac rehabilitation. However, he died approximately 9 months after the initial surgery due to multiple organ failure. We herein presented a rare surgical case of triple valve replacement for triple valve endocarditis with multiple large vegetations.

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References

  1. David TE, Gavra G, Feindel CM, Regesta T, Armstrong S, Maganti M. Surgical treatment of active infective endocarditis: a continued challenge. J Thorac Cardiovasc Surg. 2007;133:144–9.

    Article  Google Scholar 

  2. Kang DH, Kim YJ, Kim SH, Sun BJ, Kim DH, Yun SC, et al. Early surgery versus conventional treatment for infective endocarditis. N Engl J Med. 2012;366:2466–73.

    Article  CAS  Google Scholar 

  3. Nakatani S, Ashihara K, Izumi C, Iwanaga S, Eishi K, Okita Y et al. Guidelines for prevention and treatment if infective endocarditis; 2017. https://www.j-circ.or.jp/guideline/pdf/JCS2017_nakatani_h.pdf

  4. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. ESC guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J. 2015;36:3075–128.

    Article  Google Scholar 

  5. Sheikh AM, Elhenawy AM, Maganti M, Armstrong S, David TE, Feindel CM. Outcomes of double valve surgery for active infective endocarditis. J Thorac Cardiovasc Surg. 2009;138:69–75.

    Article  Google Scholar 

  6. López J, Revilla A, Vilacosta I, Sevilla T, García H, Gómez I, et al. Multiple-valve infective endocarditis. Clinical, microbiologic, echocardiographic, and prognostic profile. Medicine. 2011;90:231–6.

    Article  Google Scholar 

  7. Yao F, Han L, Xu Z, Zou L, Huang S, Wang Z, et al. Surgical treatment of multivalvular endocarditis: twenty-one-year single center experience. J Thorac Cardiovasc Surg. 2009;137:1475–80.

    Article  Google Scholar 

  8. Mihaljevic T, Byrne JG, Cohn LH, Aranki SF. Long-term results of multivalve surgery for infective multivalve endocarditis. Eur J Cardiothorac Surg. 2001;20:842–6.

    Article  CAS  Google Scholar 

  9. Kim N, Lazar JM, Cunha BA, Liao W, Minnaganti V. Multiple-valvular endocarditis. Clin Microbiol Infect. 2000;6:207–12.

    Article  CAS  Google Scholar 

  10. Rippe JM, Curley F, Paraskos JA, Schoen FJ, Cohn LH, Alpert JS. Triple-valve endocarditis with unusual echocardiographic findings. Am Heart J. 1984;107:598–604.

    Article  CAS  Google Scholar 

  11. Toyoda N, Itagaki S, Egorova NN, Tannous H, Anyanwu AC, El-Eshmawi A, et al. Real-world outcomes of surgery for native mitral valve endocarditis. J Thorac Cardiovasc Surg. 2017;154:1906–12.

    Article  Google Scholar 

  12. Tepsuwan T, Rimsukcharoenchai C, Tantraworasin A, Taksaudom N, Woragidpoonpol S, Chuaratanaphong S, et al. Comparison between mitral valve repair and replacement in active infective endocarditis. Gen Thorac Cardiovasc Surg. 2019;67:1030–7.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki city, Okayama, 701-0192, Japan

    Hiroshi Furukawa, Takeshi Honda, Takahiko Yamasawa, Yuji Kanaoka & Kazuo Tanemoto

Authors
  1. Hiroshi Furukawa
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  2. Takeshi Honda
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  3. Takahiko Yamasawa
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  4. Yuji Kanaoka
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  5. Kazuo Tanemoto
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Correspondence to Hiroshi Furukawa.

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The authors declared no conflicts of interest.

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Furukawa, H., Honda, T., Yamasawa, T. et al. A surgical case of triple valve replacement for triple valve endocarditis with multiple vegetations. Gen Thorac Cardiovasc Surg 68, 1333–1336 (2020). https://doi.org/10.1007/s11748-019-01269-2

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  • DOI: https://doi.org/10.1007/s11748-019-01269-2

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