Key result
Surgical valve repair using bovine pericardium, Gore-Tex neochordae, and an annuloplasty ring successfully treated anterior leaflet tricuspid valve endocarditis in a 30-year-old male.
Case Report (n=1)
Surgical repair of tricuspid valve endocarditis using bovine pericardium and PTFE neochordae can be successfully performed in active intravenous drug users.
Supports feasibility of complex tricuspid repair in endocarditis; leaves open durability and generalizability beyond single cases.
Surgical treatment of tricuspid valve endocarditis is challenging especially in intravenous drug users. We present a case of a 30-year-old male active drug user with anterior leaflet endocarditis treated successfully with valve repair. This was achieved through excision of the vegetation with part of the leaflet. Bovine pericardium was used to close the defect. The edges were reinforced with Teflon pledgeted polytetrafluoroethylene Gore-Tex neochordae (W.L. Gore & Associates, Flagstaff, AZ, USA). An annuloplasty ring was used to reinforce the whole annulus. Repair was competent and the patient recovered well. This technique is simple and effective and should be considered for similar cases.
No takes yet. Share an insight, caveat, or question.
Salhiyyah et al. (2010) conducted a case report in Tricuspid valve endocarditis (n=1). Surgical valve repair (excision of vegetation, bovine pericardium closure, Gore-Tex neochordae, annuloplasty ring) was evaluated on Competent repair and patient recovery. Surgical valve repair using bovine pericardium, Gore-Tex neochordae, and an annuloplasty ring successfully treated anterior leaflet tricuspid valve endocarditis in a 30-year-old male.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: