Midterm Follow-Up of Tricuspid Valve Reconstruction Due to Active Infective Endocarditis

Gottardi, Roman; Bialy, Jan; Devyatko, Elena; Tschernich, H.; Czerny, Martin; Wolner, Ernst; Seitelberger, Rainald

doi:10.1016/j.athoracsur.2007.04.116

Cited by 82 publications

(65 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, there appears to be little impact of HIV infection on the occurrence of IE if CD4 counts are above 200 cells/µL (1,4). Two studies have also noted a very high prevalence of hepatitis C in patients with IVDU and right-sided IE (16,17).…”

Section: Microbiologymentioning

confidence: 99%

“…However, if valve replacement becomes necessary in TVIE, a bioprosthesis is preferable to a mechanical valve, which requires life-long anticoagulation in patients in whom IVDU is predominant and non-compliance is a major issue (1,3,7,17,(20)(21)(22). If a mechanical valve is implanted, access to the right ventricle for pacer leads and pulmonary catheters is also lost.…”

Section: Tricuspid Valve Replacementmentioning

confidence: 99%

“…Fortunately, TV repair can be accomplished in most cases, even those with extensive valve destruction, using a variety of techniques (7,17,(20)(21)(22). These include autologous pericardial patch augmentation of the destroyed leaflets, implantation of an annuloplasty ring and expanded polytetrafluoroethylene neo-chords, used as necessary.…”

Section: Tricuspid Valve Repairmentioning

confidence: 99%

See 2 more Smart Citations

Tricuspid valve endocarditis

Hussain

Witten

Shrestha

et al. 2017

Ann. Cardiothorac. Surg.

103

124

View full text Add to dashboard Cite

Right-sided infective endocarditis (RSIE) is less common than left-sided infective endocarditis (IE), encompassing only 5-10% of cases of IE. Ninety percent of RSIE involves the tricuspid valve (TV). Given the relatively small numbers of TVIE cases operated on at most institutions, the purpose of this review is to highlight and discuss the current understanding of IE involving the TV. RSIE and TVIE are strongly associated with intravenous drug use (IVDU), although pacemaker leads, defibrillator leads and vascular access for dialysis are also major risk factors. Staphylococcus aureus is the predominant causative organism in TVIE. Most patients with TVIE are successfully treated with antibiotics, however, 5-16% of RSIE cases eventually require surgical intervention. Indications and timing for surgery are less clear than for left-sided IE; surgery is primarily considered for failed medical therapy, large vegetations and septic pulmonary embolism, and less often for TV regurgitation and heart failure. Most patients with an infected prosthetic TV will require surgery. Concomitant left-sided IE has its own surgical indications. Earlier surgical intervention may potentially prevent further destruction of leaflet tissue and increase the likelihood of TV repair. Fortunately, TV debridement and repair can be accomplished in most cases, even those with extensive valve destruction, using a variety of techniques.Valve repair is advocated over replacement, particularly in IVDUs patients who are young, non-compliant and have a higher risk of recurrent infection and reoperation with valve replacement. Excising the valve without replacing, it is not advocated; it has been reported previously, but these patients are likely to be symptomatic, particularly in cases with septic pulmonary embolism and increased pulmonary vascular resistance. Patients with concomitant left-sided involvement have worse prognosis than those with RSIE alone, due predominantly to greater likelihood of invasion and abscess formation in left-sided IE. Patients with isolated TVIE have an operative mortality between 0-15% and excellent survival.

show abstract

Section: Microbiologymentioning

confidence: 99%

Section: Tricuspid Valve Replacementmentioning

confidence: 99%

Section: Tricuspid Valve Repairmentioning

confidence: 99%

See 1 more Smart Citation

Tricuspid valve endocarditis

Hussain

Witten

Shrestha

et al. 2017

Ann. Cardiothorac. Surg.

103

124

View full text Add to dashboard Cite

show abstract

“…8) However, uncomplicated tricuspid valve endocarditis can be successfully, medically treated in 80% of patients; in the remaining 20% with very large vegetations and expectably poor antibiotic penetration like in the presented case, surgical treatment is required with an appropriate postoperative course of culture-directed antibiotics, although IVDA run the high risk of reinfection. 5,9) Because of this, patients presenting with right-sided endocarditis should receive an antibiotic treatment spanning Staphylococcus aureus, streptococci, and enterococci and should include penicillinase-resistant penicillins or vancomycin, depending on the local prevalence of MRSA.…”

Section: )mentioning

confidence: 99%

Tricuspid Valve Endocarditis with Septic Pulmonary Emboli in a Drug Addict

Weymann

Schmack

Rosendal

et al. 2012

ATCS

View full text Add to dashboard Cite

“…In the literature, the surgical options are vegetectomy and valvulectomy [2], valve repair [3][4][5] and valve replacement [6]. Vegetectomy and valvulectomy have the benefit of using no prosthetic material, but they result in right ventricular dysfunction because of massive TR after surgery and require reoperation in more than 20% of patients [6,7].…”

Section: Discussionmentioning

confidence: 99%

Isolated tricuspid valve infective endocarditis in young drug abusers

Ozkara¹,

Faruk²,

Furat³

2012

WJCD

View full text Add to dashboard Cite

Isolated tricuspid valve infective endocarditis (TVIE) is a rare clinical condition. Thus, there is no common consensus for the treatment options for TVIE. Vegetectomy and valvulectomy, valve repair, and valve replacement, which are controversial in regard to hemodynamic consequences in right-sided low-pressure system and long-term prognosis. We present 2 young intravenous drug users with TVIE and our surgical strategy.

show abstract

Midterm Follow-Up of Tricuspid Valve Reconstruction Due to Active Infective Endocarditis

Cited by 82 publications

References 24 publications

Tricuspid valve endocarditis

Tricuspid valve endocarditis

Tricuspid Valve Endocarditis with Septic Pulmonary Emboli in a Drug Addict

Isolated tricuspid valve infective endocarditis in young drug abusers

Contact Info

Product

Resources

About