Isolated tricuspid valve infective endocarditis in young drug abusers

Ozkara, Cenap; Faruk, Dogan Omer; Furat, Cevdet

doi:10.4236/wjcd.2012.23033

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…В разных регионах заболевание c локализацией инфекции на клапанах правых отделов сердца встречается в интервале от 5 до 15% всех случаев ИЭ [3,4]. Говоря об эпидемиологии ИЭТК, необходимо учесть, что одним из основных этиопатогенетических факторов формирования болезни является внутривенная наркомания, а ее распространенность неодинакова в разных регионах [5][6][7]. Другими причинами формирования ИЭТК являются ВПС, длительно стоящие венозные катетеры и электроды имплантируемых устройств, а также внутрисосудистые манипуляции [8,9].…”

Section: Introductionunclassified

The Results of Surgical Treatment of Tricuspid Valve Infective Endocarditis Using Valve Repair and Valve Replacement Operations

Kovalev¹,

Griaznov²,

Жданов³

et al. 2016

RJTAO

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Aim. To evaluate in-hospital and long-term results of surgical treatment of patients with infective endocarditis of the tricuspid valve, to compare the effectiveness of valve repair and valve replacement techniques, and to identify risk factors of mortality and reoperations. Materials and methods. 31 surgical patients with tricuspid valve infective endocarditis were evaluated. Patients were divided into 2 groups. In Group 1 (n = 14) repairs of the tricuspid valve were performed, in Group 2 (n = 17) patients had undergone tricuspid valve replacements. Epidemiological, clinical, microbiological and echocardiographic data were studied. Methods of comparative analysis, the Kaplan-Meier method, and Cox risk models were applied. Results. The most common complication of in-hospital stay was atrioventricular block (17.7% of cases in Group 2). In Group 1, this type of complication was not found. Hospital mortality was 7.14% in Group 1, and 0% in Group 2. Long-term results have shown the signifi cant reduction of heart failure in general cohort and in both groups. In Group 1 the severity of heart failure in the long term was less than in Group 2. No signifi cant differences in the severity of tricuspid regurgitation were found between the groups. In 7-year follow up no cases of death were registered in Group 1. Cumulative survival rate in Group 2 within 60 months was 67.3 ± 16.2%. No reoperations were performed in patients from Group 1. In Group 2, the freedom from reoperation within 60 months was 70.9 ± 15.3%. Combined intervention was found as predictor of postoperative mortality. Prosthetic valve endocarditis was identifi ed as risk factor for reoperation. Conclusion. Valve repair and valve replacement techniques of surgical treatment of tricuspid valve endocarditis can provide satisfactory hospital and long-term results. Tricuspid valve repair techniques allowed reducing the incidence of postoperative atrioventricular block. In the long-term, patients after tricuspid valve repair have shown less severity of heart failure as well as better rates of survival and freedom from reoperation. Combined intervention and prosthetic endocarditis were found to be main risk factors for adverse outcome.

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Section: Introductionunclassified

The Results of Surgical Treatment of Tricuspid Valve Infective Endocarditis Using Valve Repair and Valve Replacement Operations

Kovalev¹,

Griaznov²,

Жданов³

et al. 2016

RJTAO

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“…Infectious endocarditis of the tricuspid valve is rare ( 1 , 2 ) and is usually associated with the use of injectable drugs and the manipulation of intravenous devices. ( 1 - 3 )…”

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“…( 1 - 3 ) Fever, pulmonary embolism, and bacteremia are signs of right infective endocarditis. ( 1 - 3 ) Pulmonary events are present in 80% of cases, ( 1 - 3 ) and anemia and hematuria may also be present. ( 1 ) Heart murmur appears only at an advanced stage of the disease.…”

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confidence: 99%

Infective endocarditis of the tricuspid valve

Chan

Faria²,

Alçada³

2018

Revista Brasileira De Terapia Intensiva

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Isolated Right-Sided Infective Endocarditis—An Infected Right Ventricular Myxoma Masquerading as “Tricuspid Vegetation”—A Case Report

Muthiah¹

2018

CRCM

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Aim: To report a case of right ventricular myxoma prolapsing through the tricuspid valve with an attachment of vegetation in a 3-year-old male child. Introduction: Right-sided endocarditis commonly involves the tricuspid valve. Low pressure and low oxygen saturation in the right sided cardiac chambers protect the tricuspid and pulmonary valves from being subjected to excessive strained and damage occurs from injected particulate matter, contaminated venous lines and drug solutions causing endocarditis. RV (right ventricular) myxoma harboured the infection due to trauma as a result of friction movement across the tricuspid valve. Case Report: A 3-year-old male child having the spikes of fever for 2 weeks, presented with tumor "plop" and 3/6 systolic murmur in lower left sternal border and echocardiography revealed a tumor-mimicking vegetation visible as a mass lesion across the tricuspid valve, which is attached to the interventricular septum by a pedicle suggesting a RV myxoma. The vegetation was found to be attached with the tumor and it disappeared with antibiotics and aspirin therapy and the child was advised surgical removal of the tumor. Conclusion: A diagnosis of infective endocarditis can be made in tricuspid valve dysfunction with a floating mass and fever. The cardiac myxoma with an attached vegetation is masquerading as vegetation mass on transthoracic echocardiography in this child.

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Isolated tricuspid valve infective endocarditis in young drug abusers

Cited by 3 publications

References 8 publications

The Results of Surgical Treatment of Tricuspid Valve Infective Endocarditis Using Valve Repair and Valve Replacement Operations

The Results of Surgical Treatment of Tricuspid Valve Infective Endocarditis Using Valve Repair and Valve Replacement Operations

Infective endocarditis of the tricuspid valve

Isolated Right-Sided Infective Endocarditis—An Infected Right Ventricular Myxoma Masquerading as “Tricuspid Vegetation”—A Case Report

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