title: [A case report of a successful surgical treatment for infective endocarditis involving four valves in a elderly patient with ventricular septal defects].
abstract: A 72-year-old female was examined because of acute congestive heart failure. Echocardiogram revealed vegetations on aortic and pulmonary valve, regurgitation of four valves, and perimembraneous ventricular septal defect. Aortic valve replacement, mitral valve replacement, repair of tricuspid valve using a Carpentier ring, partial resection of pulmonary valve, and direct closure of VSD was performed. Pathological finding of resected valves showed acute endocarditis. A patient resumed social activities after surgery.
authors.affiliation: Department of Cardiothoracic Surgery, School of Medicine, Dokkyo University, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Iida
authors.forename: Y
authors.initials: Y
authors.lastname: Okamura
authors.forename: Y
authors.initials: Y
authors.lastname: Mochizuki
authors.forename: H
authors.initials: H
authors.lastname: Mori
authors.forename: Y
authors.initials: Y
authors.lastname: Matsushita
authors.forename: K
authors.initials: K
authors.lastname: Tabuchi
authors.forename: K
authors.initials: K
authors.lastname: Shimada
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D004697:Endocarditis, Bacterial / Q000601:surgery*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D011664:Pulmonary Valve / Q000601:surgery; D014261:Tricuspid Valve / Q000601:surgery