A Case of Aortic Valve Regurgitation due to Infective Endocarditis Associated with Multiple Organ Failure

(Department of Cardiothoracic Surgery, Hachiouji Medical Center of Tokyo Medical University and The Second Department of Surgery*, Tokyo Medical University, Tokyo, Japan)

Hiromi Yano Tatsuhiko Kudou Naoki Konagai
Mitsunori Maeda Masaharu Misaka Masataka Matsumoto
Shin Ishimaru* Yoshiko Watanabe*
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.
@Jpn. J. Cardiovasc. Surg. 30: 248-251 (2001)