A Case of Bacterial Translocation, Caused by Congestive Heart Failure with Aortic Valve Stenosis：A Case Report

Abstract

It is known that congestive heart failure may cause bacterial translocation with dysfunction of the intestinal mucosa. We herein report the case of a patient who had bacterial translocation, caused by congestive heart failure with aortic valve stenosis. The patient was 83 years old and had acute heart failure with aortic valve stenosis. After the acute heart failure was treated, he developed a fever of unknown origin and acute kidney injury repeatedly, both of which responded to antibiotics. While no infection focus could be found, we decided on a diagnosis of bacterial translocation due to low cardiac output and performed emergency aortic valve replacement. This improved his condition, and he recovered. In a practical clinical setting, it is difficult to make good decisions in cases like this.

The administration of antibiotics and performance of emergency surgery for patients with aortic valve stenosis made it possible to obtain a good clinical course.