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Case Report
Does isolated tricuspid valvectomy without replacement improve survival in patients with IVDU-associated tricuspid valve endocarditis?
Isolated tricuspid valvectomy without replacement is a viable bridge strategy for patients with IVDU-associated tricuspid valve endocarditis, yielding 100% mid-term survival while allowing time for addiction management.
INTRODUCTION: Surgical management for tricuspid valve (TV) endocarditis is usually TV repair or replacement. When repair is not feasible, and concerns for patient recidivism preclude TV replacement, tricuspid valvectomy without replacement is an option to alleviate symptoms and allow time for addiction management. METHODS: = 7) from 2009 to 2017. RESULTS: The decision for tricuspid valvectomy was based on each patient's comorbid condition and realization of active IVDU. This intervention resulted in 100% perioperative and mid-term survival with a mean follow-up of 25.4 months. One patient required a valve replacement in the long term only after appropriate substance abuse management was completed. CONCLUSION: Cardiac surgeons increasingly encounter patients with active endocarditis who suffer from IVDU addiction. Drug addiction increases the risk for recurrent endocarditis and requires an effective management plan. Multidisciplinary endocarditis care teams may play a pivotal role in improving outcomes by better addressing addiction treatment.
Mahmood et al. (Mon,) conducted a case report in Tricuspid Valve Endocarditis associated with Intravenous Drug Abuse. Isolated Tricuspid Valvectomy was evaluated. The provided text contains only the journal's editorial board information and does not include the abstract or body of the clinical paper.