Two-Stage Tricuspid Valve Replacement for Mixed Bacterial Endocarditis

Infective Endocarditis and Other Intravascular Infections

“…(362)(363)(364)(365)(366) In the first stage, the tricuspid valve is removed while appropriate antibiotic therapy is continued. The prosthesis is then inserted at a later time when all evidence of infection has been eliminated.…”

Excision of tricuspid valve with later replacement in endocarditis of drug addiction.

“…There are two reports of excision with later replacement of the tricuspid valve in addicts (Simberkoff et al, 1974;Arneborn et al, 1977). In these two cases the second operation was carried out at eight and at 12 weeks respectively, and in both cases a metallic prosthesis was used.…”

Two-stage replacement of tricuspid valve in active endocarditis.

“…In our case, a superinfection may have occurred when the patient may have been giving herself injections. A 'mixed' infection with Gram-negative bacteria in addition to staphylococci (Simberkoff et al, 1974) may have developed. The favourable effect of gentamicin and carbenicillin supports this.…”

“…Good results have been obtained in many cases of tricuspid valve endocarditis by means of valve resection alone (Arbulu et al, 1973;Graham et al, 1973, Michl et al, 1973 or with the insertion of an artificial valve at a second operation (Arbulu et al, 1973;Simberkoff et al, 1974).…”