Abstract
Tricuspid and mitral valve endocarditis caused by Staphylococcus epidermidis in a 57 year old previously healthy man with no history of drug abuse presented as bi-ventricular failure and multiple episodes of pulmonary emboli. He was treated for four weeks with intravenous antibiotics and had serial echocardiographic assessment of the vegetation on the tricuspid valve. This was followed by mitral valve replacement, local excision of vegetation from all the three cusps of the tricuspid valve, and autologous pericardial reconstruction of these cusps with functional assessment by perioperative transoesophageal echocardiography. Postoperative cardiac function was excellent and serial echocardiographic assessment confirmed satisfactory tricuspid valve function. This is believed to be the first recorded case in which autologous pericardial repair was used to reconstruct all the three cusps in a tricuspid valve after excision of vegetations.
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Selected References
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- Arbulu A., Thoms N. W., Wilson R. F. Valvulectomy without prosthetic replacement. A lifesaving operation for tricuspid pseudomonas endocarditis. J Thorac Cardiovasc Surg. 1972 Jul;64(1):103–107. [PubMed] [Google Scholar]
- Buda A. J., Zotz R. J., LeMire M. S., Bach D. S. Prognostic significance of vegetations detected by two-dimensional echocardiography in infective endocarditis. Am Heart J. 1986 Dec;112(6):1291–1296. doi: 10.1016/0002-8703(86)90362-5. [DOI] [PubMed] [Google Scholar]
- Chan P., Ogilby J. D., Segal B. Tricuspid valve endocarditis. Am Heart J. 1989 May;117(5):1140–1146. doi: 10.1016/0002-8703(89)90874-0. [DOI] [PubMed] [Google Scholar]
- Chandraratna P. A., Reagan R. B., Imaizumi T., Langevin E., Elkins R. C. Infective endocarditis cured by resection of a tricuspid valve vegetation. Ann Intern Med. 1978 Oct;89(4):517–518. doi: 10.7326/0003-4819-89-4-517. [DOI] [PubMed] [Google Scholar]
- Jagger J. D., McCaughan B. C., Pawsey C. G. Tricuspid valve endocarditis cured by excision of a single vegetation. Am Heart J. 1986 Sep;112(3):626–627. doi: 10.1016/0002-8703(86)90537-5. [DOI] [PubMed] [Google Scholar]
- McGrath L. B., Gonzalez-Lavin L., Bailey B. M., Grunkemeier G. L., Fernandez J., Laub G. W. Tricuspid valve operations in 530 patients. Twenty-five-year assessment of early and late phase events. J Thorac Cardiovasc Surg. 1990 Jan;99(1):124–133. [PubMed] [Google Scholar]
- Tanaka M., Abe T., Hosokawa S., Suenaga Y., Hikosaka H. Tricuspid valve Candida endocarditis cured by valve-sparing debridement. Ann Thorac Surg. 1989 Dec;48(6):857–858. doi: 10.1016/0003-4975(89)90687-5. [DOI] [PubMed] [Google Scholar]
- Yee E. S., Ullyot D. J. Reparative approach for right-sided endocarditis. Operative considerations and results of valvuloplasty. J Thorac Cardiovasc Surg. 1988 Jul;96(1):133–140. [PubMed] [Google Scholar]