Tricuspid valve endocarditis cured by excision of a single vegetation

An alternative surgical approach for aortic infective endocarditis: vegetectomy

“…Ever since, other surgeons worldwide used it successfully as a single surgical approach in the treatment of IE involved tricuspid valve [5][6][7], pulmonary valve [8], aortic valve and mitral valve [9,10] for more than 10 cases. Its main advantage includes preservation of the normal, native valve, preservation of normal hemodynamic function, abolition of the risks of anticoagulative medication, and abolition of the risks of prosthetic endocarditis.…”

“…Rapid temperature drop and postoperative clinical course without signs of recurrent infection after follow-up of 19 months and TEE demonstration of aortic valve competence in our report provides additional support that vegetectomy can be used as a surgical alternative in the treatment of IE. Based on our and others experience [2,[5][6][7][8][9][10], vegetectomy could be used in early phase of IE where there was merely vegetation on the involved valve, without any sign of abscess, perforation, or destruction in valve leaflet or subvalvular apparatus. Moreover, duration of postoperative antibiotic therapy based on blood culture and drug sensitive test must be long enough to avoid the recurrence of infection.…”

Surgical Excision of the Vegetation as Treatment of Tricuspid Valve Endocarditis

“…Valve excision without valve replacement is associated with a 15% mortality and a 25% incidence of subsequent tricuspid valve re placement for severe tricuspid valvular in sufficiency [7], 'Vegetectomy' when possible seems to offer potential advantages in the surgical management of tricuspid valve en docarditis [5]. Previous reports confirm the feasibility of this approach [4,5].…”

Cirurgia conservadora da valva tricúspide na endocardite infecciosa

“…O uso do ECO transoperatório tem facilitado a avaliação imediata dos resultados, sendo a presença da insuficiência valvar residual de graus leve a moderado freqüente , mas sem prejuízo à evolução. É descrito que a necessidade de implante de prótese com a falha da plástica se faz apenas quandO' não for possível a saída de circulação extracorpórea 1, 2, 8,12,[16][17][18][19] O caso de número 2 em que a plástica da VT foi realizada juntamente com revascularização miocárdica, constitui-se no primeiro caso de conhecimento do autor. Baseado nos bons resultados obtidos nos 2 casos descritos e dados recentes da literatura, acreditamos ser a cirurgia valvar conservadora em EI.…”