Infective Endocarditis involving Aortic Valve, Mitral Valve, Tricuspid Valve, and Interventricular Septum: A Case Report / 대한흉부외과학회지

ABSTRACT

This is a report of a successful management of a patient with infective endocarditis involving native aortic valve, mitral valve, tricuspid valve, and interventricular septum. A 16 year-old patient who underwent VSD patch closure, and aortic valvuloplasty at the age of 11 years showed intractable congestive heart failure during antibiotics treatment for infective endocarditis. Operative findings revealed that there were large defect along the previous patch, aortic regurgitation with multiple perforations and vegetations, mitral regurgitation with vegetation, aortic paraannular abscess, interventricular myocardial abscess, and tricuspid regurgitation with perforations and vegetations. We reconstructed the interventional defect with Dacron patch extending to the aortic valve annulus after radical debasement of all infected or devitalized tissues, and could implant aortic valve by anchoring to the reconstructed Dacron patch. Mitral valve was replaced and tricuspid valve was repaired with patient's own pericardium. The patient was discharged after antibiotics treatment for 6 weeks and in good condition without any sequelae for 12 months.