Infective endocarditis at the tricuspid valve following central venous catheterization

Yamashita, Shizuya; Noma, K.; Kuwata, Go; Miyoshi, Kahori; Honaga, Kaoru

doi:10.1007/s00540-004-0284-y

Cited by 16 publications

(10 citation statements)

References 13 publications

(18 reference statements)

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“…Besides searching for vegetations on the catheter, from superior vena cava to its implantation on the myocardium, the ECHO exam should seek carefully for IE-associated localizations on right heart valves[77][78][79][80][81]. Visualizing vegetations on implantable devices (mass or sleevelike) may be difficult, due to artifacts coming from the device itself.…”

mentioning

confidence: 98%

Echocardiography in the sepsis syndromes

2011

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Purpose of the review Non-invasiveness and instantaneous diagnostic capability are prominent features of the use of echocardiography in critical care. Sepsis and septic shock represent complex situations where early hemodynamic assessment and support are among the keys to therapeutic success. In this review, we discuss the range of applications of echocardiography in the management of the septic patient, and propose an echocardiography-based goal-oriented hemodynamic approach to septic shock. Recent findings Echocardiography can play a key role in the critical septic patient management, by excluding cardiac causes for sepsis, and mostly by guiding hemodynamic management of those patients in whom sepsis reaches such a severity to jeopardize cardiovascular function. In recent years, there have been both increasing evidence and diffusion of the use of echocardiography as monitoring tool in the patients with hemodynamic compromise. Also thanks to echocardiography, the features of the well-known sepsis-related myocardial dysfunction have been better characterized. Furthermore, many of the recent echocardiographic indices of volume responsiveness have been validated in populations of septic shock patients. Conclusion Although not proven yet in terms of patient outcome, echocardiography can be regarded as an ideal monitoring tool in the septic patient, as it allows (a) first line differential diagnosis of shock and early recognition of sepsis-related myocardial dysfunction; (b) detection of preexisting cardiac pathology, that yields precious information in septic shock management; (c) comprehensive hemodynamic monitoring through a systematic approach based on repeated bedside assessment; (d) integration with other monitoring devices; and (e) screening for cardiac source of sepsis.

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confidence: 98%

Echocardiography in the sepsis syndromes

2011

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“…Under antibiotic suppression, all cultures from blood and tissue samples remained sterile. Commonly, dialysis access catheterization, insertion of central lines, endovenous pace makers or defibrillators and even tooth extraction have been accused of bacterial and fungal tricuspid valve endocarditis 6,7 . Our patient did not have a history of any predisposing factor or a systemic illness except the presenting symptoms for a fortnight prior to admission.…”

Section: Discussionmentioning

confidence: 76%

A Case of Abdominal Aortic Pseudoaneurysm Associated With Right Heart Mass

et al. 2008

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We present a patient with right-sided endocarditis associated with abdominal aortic pseudo-aneurysm presenting only with high fever and pulsating abdominal mass. A higher clinical awareness of aortic pseudoaneurysms associated with intracardiac lesions disease, leading to early computed tomography evaluation and prompt surgical intervention appears to offer the best chance of survival. In this aspect, single-stage surgical treatment of both endocarditis and the aortic pathology is necessary.

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“…2 Our patient presented with septic pulmonary emboli (resulting from the dislodgment of vegetative material), and tricuspid regurgitation, which have been found to be common symptoms among tricuspid valve endocarditis (TVE) patients. 1,5 The PFO likely contributed to higher blood flow and pressures on the right side of the heart, resulting in thickening (fibrosis) and damage to the TV leaflets and chordae tendineae, further predisposing the TV to IE.…”

Section: Discussionmentioning

confidence: 99%

Infective Endocarditis of the Tricuspid Valve

Butany

Dev²,

Leong³

et al. 2006

J Cardiac Surgery

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Infective endocarditis (IE) usually involves the left-sided valves, and IE involving the tricuspid valve (TV) is rare, often developing in intravenous drug users (IDU). We present a case of a 32-year-old male, an intravenous drug abuser (IDA), who presented with nonspecific septic symptoms, and was treated with TV conserving surgery. Pathological examination confirmed tissue destruction, friable thrombotic vegetations, and microorganisms in the leaflet tissue.

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Infective endocarditis at the tricuspid valve following central venous catheterization

Cited by 16 publications

References 13 publications

Echocardiography in the sepsis syndromes

Echocardiography in the sepsis syndromes

A Case of Abdominal Aortic Pseudoaneurysm Associated With Right Heart Mass

Infective Endocarditis of the Tricuspid Valve

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