A Case of Aortic Valve Regurgitation due to Infective Endocarditis Associated with Multiple Organ Failure.
10.4326/jjcvs.30.248
- VernacularTitle:多臓器不全を合併した感染性心内膜炎による大動脈弁閉鎖不全症の１例
- Author:
Hiromi Yano
;
Tatsuhiko Kudou
;
Naoki Konagai
;
Mitsunori Maeda
;
Masaharu Misaka
;
Masataka Matsumoto
;
Shin Ishimaru
;
Yoshiko Watanabe
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(5):248-251
- CountryJapan
- Language:Japanese
-
Abstract:
A 40-year-old man was admitted because of prolonged fever after extraction of teeth. Infective endocarditis, congestive heart failure and hepatorenal failure were diagnosed in a series of examinations. Electrocardiograms showed complete atrio-ventricular block and QT prolongation. After continuous hemodiafiltration (CHDF) and high doses of antimicrobials promptly initiated for the treatment of multiple organ failure, the aortic valve with regurgitation and vegetation was replaced with an artificial valve. Serious arrhythmias occurred after the operation, which disappeared by the administration of antiarrhythmic agents. In cases of infective endocarditis with multiple organ failure, preoperative intensive treatment such as CHDF in combination with high doses of antimicrobials and surgical intervention represent a good strategy for successful outcome.
