Challenge in the management of infective endocarditis with multiple valvular involvement / Desafio no manejo clínico da endocardite infecciosa com acometimento multivalvar
Rev. Soc. Bras. Med. Trop
;
45(2): 272-274, Mar.-Apr. 2012. ilus
Article
in English
| LILACS
| ID: lil-625189
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.
RESUMO
Paciente do sexo masculino, 41 anos, portador de cardiopatia congênita apresentando-se com endocardite infecciosa (EI) e vegetações nas valvas pulmonar, aórtica e mitral. Três trocas valvares foram realizadas, mas o paciente evoluiu com recidiva da infecção, desenvolvendo abscesso na região da fibrosa intervalvar mitro-aórtica progredindo para sépsis e óbito. Nesse relato, discutimos brevemente as indicações para a cirurgia na EI, destacando sua indicação no tratamento da infecção não controlada.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Valve
/
Pulmonary Valve
/
Endocarditis
/
Heart Valve Diseases
/
Mitral Valve
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
Tropical Medicine
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal de Minas Gerais/BR
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