Simultaneous Right-Sided and Left-Sided Infective Endocarditis: Management Challenges in a Multidisciplinary Setting

Fernando, Rohesh J.; Johnson, Sean D.; Augoustides, John; Patel, Prakash A.; Gutsche, Jacob T.; Dashiell, Jillian M; Feinman, Jared W.; Zhou, Elizabeth; Weiss, Stuart J.; Goldhammer, Jordan E.; Panikkath, Pramod V.; Gerstein, Neal S.

doi:10.1053/j.jvca.2017.07.031

Cited by 3 publications

(2 citation statements)

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“…Bilateral IE may be related to congenital heart diseases or defects, intra-cardiac devices, or repeated injections by drug users [22,37,41]. There are few cases of right-and left-sided MVE in the literature [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. In addition to our patient, we have found in the literature another 21 clinical cases, which are outlined in Table 1.…”

Section: Discussionmentioning

confidence: 69%

“…We included all the papers that met the following criteria: We identified 1699 studies reporting data on MVE (Figure 2). Among them, 20 papers reported 21 clinical cases on bilateral MVE [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Table 1 describes demographic, clinical, and microbiological characteristics as well as the prognosis of the 21 clinical cases identified and of our case.…”

Section: Review Of the Literaturementioning

confidence: 99%

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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

Monari,

Molinari,

Cornelli

et al. 2023

Infectious Disease Reports

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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.

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