| 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) |
|
