Abstract
Quadruple-valve endocarditis is a challenging condition, for which there is limited treatment experience and poor overall survival. We report the first case caused by Abiotrophia defectiva that has been surgically treated both with the replacement of the aortic and pulmonary valves and the repair of the mitral and tricuspid valves with a good outcome. The patient's clinical course is described and a review of literature on this rare causative agent is given.
Keywords:
Abiotrophia defectiva; Quadruple-valve endocarditis; Surgery.
© The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
MeSH terms
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Abiotrophia / isolation & purification*
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Aortic Valve / diagnostic imaging
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Aortic Valve / surgery
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Echocardiography
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / diagnosis
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Endocarditis, Bacterial / microbiology*
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Endocarditis, Bacterial / therapy
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Female
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Gram-Positive Bacterial Infections / microbiology*
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Heart Valve Diseases / diagnosis
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Heart Valve Diseases / etiology
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Heart Valve Diseases / surgery*
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Heart Valve Prosthesis Implantation / methods*
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Humans
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Middle Aged
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Mitral Valve / diagnostic imaging
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Mitral Valve / surgery
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Pulmonary Valve / diagnostic imaging
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Pulmonary Valve / surgery
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Tricuspid Valve / diagnostic imaging
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Tricuspid Valve / surgery