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.
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