Medical treatment is frequently effective for tricuspid valve endocarditis, though about 25% of patients require surgical intervention such as tricuspid valvulectomy without prosthetic replacement.
Tricuspid valve endocarditis generally has a good prognosis with medical therapy, though approximately 25% of patients require surgical intervention such as valvulectomy.
TVE is mainly a disease of intravenous drug abusers. Although the infecting organisms are often highly virulent, they frequently respond to medical treatment. The prognosis for patients with TVE is fairly good. About 25% of TVE patients require surgical intervention. Persistent sepsis and intractable congestive heart failure are indications for surgery. Tricuspid valvulectomy without prosthetic replacement is the surgical intervention of choice. Right-sided heart failure is the principal complication after valvulectomy without a prosthesis. A significant percentage of patients require insertion of prosthetic valves at a future date.
Chan et al. (1989) conducted a review in Tricuspid valve endocarditis. Medical treatment and surgical intervention was evaluated. Medical treatment is frequently effective for tricuspid valve endocarditis, though about 25% of patients require surgical intervention such as tricuspid valvulectomy without prosthetic replacement.