Successfully treated triple valve infective endocarditis: a case report.
A 45-year-old woman presented with triple valve infective endocarditis and ventricular septal defect. There were vegetations on the tricuspid valve, pulmonary valve, and aortic valve. She had multiple complications such as nephrotic syndrome, severe anemia, congestive heart failure, and convulsion. Her general condition was extremely poor. Intensive medical therapy, such as blood transfusion, mechanical ventilation, and continuous venovenous hemofiltration, allowed her to tolerate surgery. Triple valve replacement and ventricular septal defect closure was successfully performed without major complication. She was ambulatory at the time of discharge.
Sakakura
Kenichi
K
Cardiovascular Division, First Department of Integrated Medicine, Omiya Medical Center, Jichi Medical School, Saitama.
Kubo
Norifumi
N
Katayama
Takuji
T
Umemoto
Tomio
T
Oosawa
Satoshi
S
Murata
Seiichiro
S
Sugawara
Yoshitaka
Y
Funayama
Hiroshi
H
Takagi
Yousuke
Y
Yasu
Takanori
T
Tsuruya
Yoshio
Y
Ino
Takashi
T
Saito
Muneyasu
M
D000740:Anemia / Q000209:etiology; D001021:Aortic Valve / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D004697:Endocarditis, Bacterial / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D009404:Nephrotic Syndrome / Q000209:etiology; D011664:Pulmonary Valve / Q000601:surgery; D014261:Tricuspid Valve / Q000601:surgery