Two-stage replacement of tricuspid valve in active endocarditis.

Arneborn, P; Björk, Viking Olov; Rodríguez, Laura; Svanbom, Maj

doi:10.1136/hrt.39.11.1276

Cited by 23 publications

(2 citation statements)

References 21 publications

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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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Section: Discussionmentioning

confidence: 99%

Bilateral infective endocarditis

Koshal

Wynne

Westerman

et al. 1981

Clinical Cardiology

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“…Due to the high incidence of recurrent drug use, most replacement devices in the tricuspid position are prone to reinfection. One strategy for avoiding this situation involves performing tricuspid valve excision without replacement (24)(25)(26)(27), though this procedure carries a significant risk of hospital mortality (10%) as well as substantial morbidity (23). Fortunately, many of these patients can survive and manage reasonably well for at least 5-10 years, although within this period, at least 20% usually require tricuspid valve replacement to control their symptoms (23).…”

Section: Tricuspid Valve Incompetencementioning

confidence: 99%