title: [A successful result of triple valve replacement for combined valvular disease complicated with protein-losing gastroenteropathy].
abstract: A 43-year-old woman underwent triple valve replacement for combined valvular disease complicated with protein-losing gastroenteropathy. alpha 1-antitrypsin clearance (indices of protein-losing) was improved and serum protein level was normalized after the operation. Although protein-losing gastroenteropathy has been described as a complication of constrictive pericarditis, it has been a rare occurrence in other congestive heart failure. In this case, congestion is demonstrated to be a possible cause for protein-losing gastroenteropathy. We attempt to compare this case with situation of constrictive pericarditis, and describe the cause for developing protein-losing gastroenteropathy.
authors.affiliation: Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hammamatsu, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Hiramatsu
authors.forename: Y
authors.initials: Y
authors.lastname: Sakakibara
authors.forename: K
authors.initials: K
authors.lastname: Hirabayashi
authors.forename: T
authors.initials: T
authors.lastname: Mitsui
authors.forename: M
authors.initials: M
authors.lastname: Hori
mesh_terms: D000328:Adult; D001022:Aortic Valve Insufficiency / Q000601:surgery; D005260:Female; D006333:Heart Failure / Q000150:complications; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery; D011504:Protein-Losing Enteropathies / Q000209:etiology*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery