Abstract

A 79 years-old male was admitted to our Centre with persistent fever, fatigue and cough 6 months post mitral and tricuspid valve repairs with annuloplasties and ring implantations for myxomatous mitral and tricuspid valve disease with prolapse and severe regurgitation. The blood tests showed slightly elevated C-reactive protein (46.5mg/L – UNL <5mg/L) without leukocytosis, and an elevated D-dimer (1827mcg/L). A thoracic computed tomography excluded pulmonary embolism and disclosed pericardial and pleural effusions.

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