Key result
Tricuspid valvuloplasty and PFO closure successfully resolve septic and paradoxical emboli in tricuspid endocarditis.
Why the study?
Paradoxical systemic embolism may occur in patients with septic pulmonary embolism through a patent foramen ovale, but clinical details are limited.
Case Report (n=1)
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A 28-year-old woman presenting with fever was referred to our hospital and diagnosed as septic pulmonary embolism secondary to tricuspid valve endocarditis. Although antibiotic therapy was initiated, she further showed multiple complications including Janeway lesions and cerebral infarctions, suggestive of septic systemic embolism. Transoesophageal echocardiography detected a right-to-left shunt through a patent foramen ovale (PFO). The patient was successfully treated with surgical tricuspid valvuloplasty and PFO closure. Paradoxical systemic embolism may occur in patients with septic pulmonary embolism through the PFO.
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Nii et al. (2014) conducted a case report in Septic pulmonary and systemic embolism secondary to tricuspid endocarditis (n=1). Antibiotic therapy, surgical tricuspid valvuloplasty, and PFO closure was evaluated. Surgical tricuspid valvuloplasty and patent foramen ovale closure successfully treated a 28-year-old woman with septic pulmonary and paradoxical systemic emboli due to tricuspid endocarditis.
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