Key result
Multidisciplinary management involving planned cesarean delivery followed by interval tricuspid valve replacement successfully treated a 28-year-old pregnant woman with tricuspid valve endocarditis.
Case Report (n=1)
Multidisciplinary management involving planned cesarean delivery followed by interval tricuspid valve replacement can be successful in pregnant patients with severe drug-use associated infective endocarditis.
May guide peripartum decisions in pregnant tricuspid endocarditis; leaves open optimal delivery and surgical timing.
BACKGROUND AND AIM: We report a case of intravenous drug use associated tricuspid valve endocarditis in a 28-year-old pregnant female at 26-week gestation. METHODS: Patient management required a multidisciplinary collaboration between cardiac surgery, obstetrics and gynecology, and neonatal critical care. RESULTS: Despite appropriate intravenous antibiotics, the patient developed life-threatening complications and underwent planned cesarean delivery at 28 weeks 6 days gestation followed by interval tricuspid valve replacement 1 week later. CONCLUSIONS: Both the patient and her infant were successfully managed through the perioperative period.
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Lin et al. (2020) conducted a case report in Intravenous drug use associated tricuspid valve endocarditis in pregnancy (n=1). Multidisciplinary management including planned cesarean delivery and interval tricuspid valve replacement was evaluated on Maternal and fetal survival/management success. Multidisciplinary management involving planned cesarean delivery followed by interval tricuspid valve replacement successfully treated a 28-year-old pregnant woman with tricuspid valve endocarditis.
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