Key result
Three valve replacements for infective endocarditis end in fatal sepsis following abscess development.
Case Report (n=1)
Highlights the severe challenges and high mortality risk in managing infective endocarditis with multiple valvular involvement in patients with congenital heart disease.
Illustrates high mortality from abscess and sepsis in complex IE despite repeated valve surgery; leaves open optimal strategies in congenital heart disease.
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.
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Araújo et al. (2012) conducted a case report in Infective endocarditis (n=1). Valve replacement surgery was evaluated. A 41-year-old man with infective endocarditis underwent three valve replacements but subsequently died due to sepsis after developing an abscess.
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