title: Challenge in the management of infective endocarditis with multiple valvular involvement.
abstract: We describe the case of a 41-year-old man with congenital heart disease and infective endocarditis (IE), who presented multiple vegetations attached to the pulmonary, mitral, and aortic valves. Three valve replacements were performed, but the patient developed an abscess at the mitral-aortic intervalvular fibrosa and died due to sepsis. We briefly discuss the indications for surgery in IE, emphasizing its role in the treatment of uncontrolled infection.
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG.
authors.forename: Izabella Rodrigues de
authors.initials: IR
authors.lastname: Araújo
authors.forename: Maria do Carmo Pereira
authors.initials: Mdo C
authors.lastname: Nunes
authors.forename: Claudio Leo
authors.initials: CL
authors.lastname: Gelape
authors.forename: Vinicius Tostes
authors.initials: VT
authors.lastname: Carvalho
authors.forename: Benone Evaristo Rezende Araújo
authors.initials: BE
authors.lastname: Lacerda
authors.forename: Gustavo Brandão de
authors.initials: GB
authors.lastname: Oliveira
authors.forename: Luiza Caldeira
authors.initials: LC
authors.lastname: Brant
authors.forename: Teresa Cristina Abreu
authors.initials: TC
authors.lastname: Ferrari
mesh_terms: D000328:Adult; D001021:Aortic Valve; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve; D011664:Pulmonary Valve; D012008:Recurrence