[A successful result of triple valve replacement for combined valvular disease complicated with protein-losing gastroenteropathy].

A 43-year-old woman underwent triple valve replacement for combined valvular disease complicated with protein-losing gastroenteropathy. alpha 1-antitrypsin clearance (indices of protein-losing) was improved and serum protein level was normalized after the operation. Although protein-losing gastroenteropathy has been described as a complication of constrictive pericarditis, it has been a rare occurrence in other congestive heart failure. In this case, congestion is demonstrated to be a possible cause for protein-losing gastroenteropathy. We attempt to compare this case with situation of constrictive pericarditis, and describe the cause for developing protein-losing gastroenteropathy.