Key result
Aspiration-based debridement guided by intraoperative echocardiography successfully treated a high-risk patient with tricuspid valve endocarditis secondary to intravenous drug abuse.
Aspiration-based debridement guided by intraoperative TEE can be a successful strategy for treating high-risk tricuspid valve endocarditis.
May offer an option in high-risk tricuspid endocarditis; hypothesis-generating and should not yet change practice.
This report describes a high-risk case of tricuspid valve endocarditis secondary to intravenous drug abuse. Information gleaned from intraoperative transesophageal echocardiographic imaging and real-time measurements was used to effectively modify procedural hardware and successfully treat the patient using an aspiration-based strategy. (Level of Difficulty: Advanced.)
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Meyer et al. (2019) studied this question. Aspiration-based debridement guided by intraoperative echocardiography successfully treated a high-risk patient with tricuspid valve endocarditis secondary to intravenous drug abuse.
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