Gavalaki Aikaterini, Athanasopoulos George, Roussakis Antonios, Koutouzis Michael, Perreas Konstantinos, Nenekidis Ioannis
1st Department of Adult Cardiac Surgery, Onassis Cardiac Surgery Center, Athens, Greece.
Cardiology Department, Onassis Cardiac Surgery Centre, Athens, Greece.
J Surg Case Rep. 2022 Jul 4;2022(7):rjac315. doi: 10.1093/jscr/rjac315. eCollection 2022 Jul.
Infective endocarditis remains a medical challenge among urgent cases of cardiac disease. Multi-valvular endocarditis is uncommon and simultaneous right and left-sided valvular involvement, particularly affecting the pulmonary valve, is scarcely reported. A rare case of a patient with subacute myelodysplastic syndrome, who presented with endocarditis involving both aortic and pulmonary valves, complicated with new-onset heart failure, is described. The patient presented prompt recovery of both right and left ventricular function after combined aortic and pulmonary valve replacement.
感染性心内膜炎仍是心脏病急症中的一项医学挑战。多瓣膜心内膜炎并不常见，而同时累及左右两侧瓣膜，尤其是累及肺动脉瓣的情况鲜有报道。本文描述了一例罕见病例，患者患有亚急性骨髓增生异常综合征，表现为主动脉瓣和肺动脉瓣均受累的感染性心内膜炎，并并发新发心力衰竭。该患者在接受主动脉瓣和肺动脉瓣联合置换术后，左右心室功能迅速恢复。
