Excision of tricuspid valve with later replacement in endocarditis of drug addiction.

Wright, J S; Glennie, J. S.

doi:10.1136/thx.33.4.518

Cited by 13 publications

(5 citation statements)

References 4 publications

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“…(362)(363)(364)(365)(366) In the first stage, the tricuspid valve is removed while appropriate antibiotic therapy is continued. The prosthesis is then inserted at a later time when all evidence of infection has been eliminated.…”

Section: Antibiotic Failurementioning

confidence: 99%

Infective Endocarditis and Other Intravascular Infections

Freedman¹

1982

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Section: Antibiotic Failurementioning

confidence: 99%

Infective Endocarditis and Other Intravascular Infections

Freedman¹

1982

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“…Surgical treatment of right-sided endocarditis remains a subject of debate, although the majority of these infections are caused by organisms that can be successfully treated with antibiotics. Moreover, tricuspid valve lesions allow time for medical treatment because of the greater tolerance for tricuspid regurgitation and pulmonary embolization than for lesions associated with left-sided endocarditis [6,16]. For these reasons, associated right-sided endocarditis is probably more common than recognized and is therefore underdiagnosed [17].…”

Section: Discussionmentioning

confidence: 96%

Surgery for tricuspid valve endocarditis: A selective approach

et al. 1999

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The authors report their 18-year experience in the surgical treatment of infective tricuspid endocarditis. Between January 1981 and January 1999, 238 cases of infective endocarditis were seen. with a tricuspid involvement in 21 cases (8.8%). Tricuspid valve repair was performed in 9 patients with infective lesions involving one single leaflet. The surgical principle of the repair was to avoid any prosthetic material implantation. Posterior leaflet vegetectomy was performed in another 2 patients with infected intracavitary leads. Tricuspid valve replacement was performed in 10 patients with involvement of the whole valvular apparatus. One patient died of septic shock 3 days postoperatively. All the other patients had a good postoperative recovery. Follow-up ranged between 12 and 155 months (mean 68.9 +/- 55 months). Five cases of late mortality were observed: 3 for cardiac reasons and 2 of cancer. All the other patients are alive. Late postoperative echocardiography in the patients with tricuspid repair showed tricuspid regurgitation to be absent in 6 patients, mild in 2, moderate in 1, and severe in 1. No recurrent infections were observed either in patients with valve repair or in those with valve replacement. Good early and long-term results can be achieved in the surgical treatment of tricuspid endocarditis as long as complete excision of the infected tissue is performed and risk factors are controlled.

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“…We replaced the tricuspid valve in the second patient rather than merely excise it as has been previously reported (Arbulu et al, 1971) because of the possibility of postoperative pulmonary hypertension due to the left-sided valvar lesion and possible residual pulmonary hypertension from small pulmonary emboli. There have been reports of tricuspid valvulectomy followed a few months later by prosthetic valve implantation (Arneborn et al, 1977;Wright and Glennie 1978), particularly in cases of fungal endocarditis, but residual pulmonary hypertension is a contraindication because of the massive insufficiency and right ventricular decompensation that might result.…”

Section: Discussionmentioning

confidence: 99%

Bilateral infective endocarditis

Koshal

Wynne

Westerman

et al. 1981

Clinical Cardiology

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Summary: Two patients presenting with simultaneous rightand left-sided infective endocarditis requiring surgical intervention are reported. One patient developed aortic and pulmonic valve endocarditis following dental extraction, while the second patient developed mitral and tricuspid valve endocarditis secondary to a large body burn. The bilateral semilunar valve endocarditis was treated by porcine aortic valve replacement and debridement of the pulmonic valve. The bilateral atrioventricular valve endocarditis was treated by mitral and tricuspid valve replacement with porcine valves. The frequency and clinical settings in which this condition is likely to present are discussed.

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Excision of tricuspid valve with later replacement in endocarditis of drug addiction.

Cited by 13 publications

References 4 publications

Infective Endocarditis and Other Intravascular Infections

Infective Endocarditis and Other Intravascular Infections

Surgery for tricuspid valve endocarditis: A selective approach

Bilateral infective endocarditis

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