Key result
Emergency mitral and tricuspid valve repair resolves extreme hyperbilirubinemia in endocarditis-related acute heart failure.
Why the study?
Hyperbilirubinemia is a known risk factor in patients undergoing open heart operations, and infective endocarditis can cause acute heart failure with liver dysfunction due to valvular injury.
Case Report (n=1)
Emergency mitral and tricuspid valve repair can be a successful treatment strategy for patients presenting with acute heart failure and extreme hyperbilirubinemia secondary to infective endocarditis.
Answers are grounded in this paper and cite their sources.
May support emergency repair in endocarditis with extreme hyperbilirubinemia; hypothesis-generating and requires prospective validation before practice change.
Hyperbilirubinemia is a known risk factor in patients undergoing open heart operations. Infective endocarditis often leads to valvular injury, such as rupture of chordae tendineae or leaflet perforation, which can cause acute heart failure in association with pulmonary hypertension and liver dysfunction. Here we present a patient with massive liver congestion, reflected by extreme hyperbilirubinemia, secondary to acute heart failure following mitral valve endocarditis that was successfully treated by emergency mitral and tricuspid valve repair.
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Lin et al. (2018) conducted a case report in Acute liver failure with extreme hyperbilirubinemia secondary to endocarditis-related severe mitral and tricuspid regurgitation (n=1). Emergency mitral and tricuspid valve repair was evaluated. Emergency mitral and tricuspid valve repair successfully treated a patient with extreme hyperbilirubinemia secondary to acute heart failure following mitral valve endocarditis.
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