January 1, 1996Internal MedicineOpen Access

Tricuspid Valve Endocarditis with Large Vegetations in a Non-Drug Addict without Underlying Cardiac Disease.

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Population

n=1, 77-year-old man with gamma-streptococcal tricuspid valve endocarditis and large vegetations…

Design

Case_report

Follow-up

1 month postoperatively

Authors

TIToru IwamaGifu Municipal Hospital SSSatoshi ShigematsuMurata (Japan)KAKouichi AsamiJapan University of Economics

Discussion

Member takes

Implication

May support surgery in select refractory right-sided IE cases; leaves open need for prospective data on timing and selection.

Structured PICO

Population

n=1, 77-year-old man with gamma-streptococcal tricuspid valve endocarditis and large vegetations (up to 30 x 50 mm), complicated by recurrent septic pulmonary embolism. No history of intravenous drug abuse or diabetes mellitus; history of coronary artery disease and PTCA.

Intervention

Tricuspid valve replacement with a Hancock porcine prosthetic valve, followed by postoperative intravenous penicillin G and cefotiam for 1 month.

Outcome

Clinical recovery and resolution of persistent fever and recurrent septic pulmonary embolism

Tricuspid valve replacement can be a successful, life-saving intervention for right-sided infective endocarditis with large vegetations and recurrent pulmonary embolism that is refractory to medical therapy.

Cite This Study

Iwama et al. (1996) studied this question.

synapsesocial.com/papers/6a95482a6f34f99aa23313a9 https://doi.org/10.2169/internalmedicine.35.203

Topics

Echocardiography Pulmonary embolism Valvular heart disease

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Tricuspid Valve Endocarditis with Large Vegetations in a Non-Drug Addict without Underlying Cardiac Disease.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Tricuspid Valve Endocarditis with Large Vegetations in a Non-Drug Addict without Underlying Cardiac Disease.

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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Topics

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