An Unusual Case of a Double Tricuspid and Mitral Valves Infective Endocarditis Complicated by Multiple Septic Embolisms Secondary to an Atrial Septal Defect: A Case Report and Review of Literature.
Caterina MonariDaniele MolinariAlessandro CornelliLoredana AlessioFrancesco CoppolinoConsiglia BarbareschiStefania De PascalisMichele TorellaGiovanni CimminoMarisa De FeoNicola CoppolaTiziana FormisanoPublished in: Infectious disease reports (2023)
Multivalvular endocarditis (MVE) is an uncommon infection that mostly involves mitral and aortic valves, and it is related to a higher risk of congestive heart failure and a higher mortality. We described a case of a bilateral MVE and performed a review of the literature on similar clinical cases. We reported an unusual case of a 68-year-old male patient with a tricuspid and mitral infective endocarditis due to a methicillin-resistant Staphylococcus aureus complicated by multiple right- and left-sided septic embolization (lungs, brain, spleen, L2-L3 vertebral bones) due to an unknown atrial septal defect identified and repaired during cardiac surgery. Despite the severity of the clinical case, the patient experienced a good clinical outcome also thanks to a multidisciplinary approach. We identified 21 case reports describing bilateral MVE. A multidisciplinary approach is essential in the management of valve diseases to improve the prognosis of patients, especially in bilateral MVE.
Keyphrases
- mitral valve
- aortic valve
- aortic stenosis
- case report
- left atrial
- ejection fraction
- aortic valve replacement
- left ventricular
- methicillin resistant staphylococcus aureus
- transcatheter aortic valve replacement
- heart failure
- transcatheter aortic valve implantation
- acute kidney injury
- cardiac surgery
- atrial fibrillation
- end stage renal disease
- staphylococcus aureus
- newly diagnosed
- quality improvement
- chronic kidney disease
- cardiovascular events
- prognostic factors
- peritoneal dialysis
- risk factors
- multiple sclerosis
- cardiovascular disease
- type diabetes
- cardiac resynchronization therapy
- postmenopausal women
- patient reported outcomes
- pulmonary hypertension
- functional connectivity