title: Fatal intracranial hemorrhage after double valve replacement in infective endocarditis.
abstract: Endocarditis is a life-threatening disease, although it is relatively uncommon. The complications of infective endocarditis may involve any organ system. Cardiac and extracardiac complications including neurologic, vascular and renal diseases are common and are usually caused by either embolization of vegetation or immune complexes. This case report presents a 31-year-old male with combined mitro-aortic valves defect and infective endocarditis on mitral valve. The replacement of mitral and aortic valves prosthesis were performed. During postoperative period low output heart failure, renal failure and respiratory failure developed. 25 days after the first operation the reoperation was performed because of mitral prosthesis insufficiency and thrombus just under the valve. On 31st day after the first operation patient died because of subdural hematoma and acute cerebral oedema and encephalomalatia.
authors.affiliation: Department of Cardiac Surgery, Medical University of Lublin.
authors.forename: Janusz
authors.initials: J
authors.lastname: Stazka
authors.forename: Marek
authors.initials: M
authors.lastname: Czajkowski
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D016470:Bacteremia / Q000473:pathology; D001921:Brain / Q000473:pathology; D001929:Brain Edema / Q000473:pathology; D003645:Death, Sudden / Q000473:pathology*; D004697:Endocarditis, Bacterial / Q000473:pathology / Q000601:surgery*; D017809:Fatal Outcome; D019918:Heart Valve Prosthesis Implantation; D006408:Hematoma, Subdural / Q000473:pathology*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery*; D009102:Multiple Organ Failure / Q000473:pathology; D011183:Postoperative Complications / Q000473:pathology*; D011552:Pseudomonas Infections / Q000473:pathology; D012086:Reoperation; D012214:Rheumatic Heart Disease / Q000473:pathology / Q000601:surgery*; D013345:Subarachnoid Hemorrhage / Q000473:pathology*