%0 Case Reports
%T Valvular Endocarditis and Biventricular Heart Failure in the Setting of Tropheryma whipplei Disease.
%A Ergi DG
%A Fadel HJ
%A Michelena HI
%A Lin G
%A Greason KL
%A Arghami A
%J Tex Heart Inst J
%V 51
%N 2
%D 2024 Aug 5
%M 39101327
%F 1.103
%R 10.14503/THIJ-23-8336
%X Whipple disease is a rare systemic illness associated with weight loss, diarrhea, and arthralgia. Asymptomatic carriage is common, but the disease can be complicated by cardiac involvement and may result in culture-negative endocarditis. Cardiac manifestations of the disease can lead to death. This report presents the case of a 66-year-old man with Whipple disease and biventricular heart failure with cardiogenic shock. Medical therapy followed by successful replacement of the aortic and mitral valves resulted in substantial improvement.