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[Triple valve replacement after recurrent infective endocarditis and previous COVID-19 infection]

D A Podchasov1, V A Ivanov1, E P Evseev1

  • 1Petrovsky National Research Center of Surgery, Moscow, Russia.

Khirurgiia
|December 25, 2025
PubMed

Insights

This study details a successful triple valve replacement in a patient experiencing recurrent infective endocarditis after COVID-19. The complex cardiac surgery involved redo mitral, aortic, and tricuspid valve replacements.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infectious Diseases

Background:

  • Recurrent infective endocarditis poses significant challenges in cardiac surgery.
  • COVID-19 infection has been linked to an increased risk of cardiovascular complications, including endocarditis.
  • Previous valve surgery increases complexity in redo procedures.

Purpose of the Study:

  • To report a case of successful triple valve replacement in a patient with recurrent infective endocarditis post-COVID-19.
  • To highlight the feasibility of complex cardiac surgery in high-risk patients.

Main Methods:

  • The patient underwent redo mitral valve replacement.
  • Aortic valve replacement was performed.
  • Tricuspid valve replacement was also completed.
  • Surgical procedures were conducted on a patient with a high EuroSCORE II (19.24%).

Main Results:

  • Successful triple valve replacement was achieved.
  • The patient recovered from the complex cardiac procedure.
  • The intervention addressed recurrent infective endocarditis.

Conclusions:

  • Redo triple valve replacement is a viable option for select patients with recurrent infective endocarditis post-COVID-19.
  • Complex cardiac surgery can be successfully performed even in high-risk individuals.
  • Management of post-COVID-19 cardiac complications requires tailored surgical approaches.

Keywords:
COVID-19 infectioninfective endocarditisredo valve replacementtricuspid valve replacement

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