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Case Reports
. 2023 Mar 31;1(3):411-414.
doi: 10.1016/j.atssr.2023.03.006. eCollection 2023 Sep.

Multivalvular Endocarditis: A Different Approach

Jorge Balzan  1 , Rene Aleman  1 , Federico Napoli  1 , Nicolas Brozzi  1 , Otto Montero  1 , Phillip Bongiorno  1 , Cedric Sheffield  1 , Jose Navia  1
Affiliations
Case Reports

Multivalvular Endocarditis: A Different Approach

Jorge Balzan et al. Ann Thorac Surg Short Rep. .

Abstract

Active infective endocarditis (IE) with multivalvular involvement, the most severe form of IE, requires a demanding clinical and surgical management. Clinical guidelines describe the operative approach to multivalvular involvement as challenging with subpar postoperative outcomes. Quadruple valvular IE remains a rare clinical phenomenon, with high mortality rates and poor surgical outcomes. We present the case of a 32-year-old woman with multivalvular IE who underwent a hemi-commando procedure and dual valve homograft replacement.

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Figures

Figure 1
Figure 1
(A) Preoperative echocardiogram consistent with multivalvular infective endocarditis. (B) Echocardiogram after valvular repair showing mild left ventricular hypertrophy, mild decrease in left ventricular systolic function, mild decrease in right ventricular systolic function, and moderate dilation of the left atrium.
Figure 2
Figure 2
(A) Aortic valve (AV) and (B) subsequent dissection of valvular vegetations. (C) Pulmonic valve (PV) dissection and ventricular septal defect (VSD) repair. (D) Tricuspid valve (TV) and mitral valve (MV) repair. (E, F) PV and AV homograft (hg) before and after repair.
See this image and copyright information in PMC

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