Severe Tricuspid Valve Endocarditis

Figures

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  Figure 1. Sequential Computed Tomographic Imaging Demonstrating Evolution of Septic Emboli From Large Tricuspid Vegetation (A) Extensive consolidative and ground glass opacities with cavitary lesions (arrows); (B) large anterior right hemothorax (stars) causing mass effect; (C) right bronchopleural fistula (arrows) from rupture of cavitation; (D) empyema necessitans (stars) with dissection through right chest wall into the breast; (E) status after right Eloesser flap: largely resolved pulmonary opacities.

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  Figure 2. Percutaneous Aspiration of Large Tricuspid Valve Vegetation (A, B) Multiple large pedunculated vegetations on the tricuspid valve (yellow arrows) with severe tricuspid regurgitation through a leaflet perforation and central valve malcoaptation (red arrow); (C) Percutaneous aspiration catheter advanced to right atrium via the inferior vena cava; (D) Extracted mass of vegetation and destructed leaflet tissue.

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  Figure 3. Dual-Lumen Veno-Venous Extracorporeal Membrane Oxygenation Catheter Placement Via Right Internal Jugular Vein Arrows indicate catheter and radiographic indicators of inflow and outflow sites. IVC = inferior vena cava; SVC = superior vena cava.

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  Figure 4. Extracorporeal Membrane Oxygenation Circuit Configurations and Considerations