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Repeat Tricuspid and Mitral Valve Replacement for Enterococcal Endocarditis

Department of Thoracic and Cardiovascular Surgery Hiroshima Prefectural Hospital Hiroshima, Japan
For reprint information contact: Yoshiharu Hamanaka, MD Tel: 81 82 254 1818 Fax: 81 82 253 8274 email: yhamanaka-circ{at}umin.ac.jp Department of Thoracic and Cardiovascular Surgery, Hiroshima Prefectural Hospital, 1-5-54 Ujina-kanda, Minami-ku, Hiroshima 734-8530, Japan.

A man who underwent tricuspid and mitral valve replacement with bioprostheses at 45 years of age required a second double valve replacement at 50, a third tricuspid valve replacement for enterococcal endocarditis at 57, and a third mitral valve replacement for relapsing enterococcal endocarditis at the age of 60. Recurrent Enterococcus faecalis prosthetic valve endocarditis was thought to be due to colon polyps causing intermittent infection.