Tricuspid valvulectomy without replacement

Arbulu, Agustin; Holmes, R.; Asfaw, Ingida

doi:10.1016/s0022-5223(19)33944-3

Cited by 79 publications

(24 citation statements)

References 10 publications

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“…It’s hard to repair and the patient’s condition could not tolerant one more repair after failure, so tricuspid valve replacement was conducted. Since September 1970, Arbulu et al reported several right-sided endocarditis with heroin addiction and they received tricuspid valvulectomy without replacement [5]. Although the acceptable outcome was concluded, some patients required further prosthetic heart valve insertion to control medically refractory right-sided heart failure and the others may lead to severe and permanent impairment of right ventricular function.…”

Section: Discussionmentioning

confidence: 99%

Tricuspid valve infective endocarditis complicated with multiple lung abscesses and thoracic empyema as different pathogens: a case report

Cheng

Hsieh

Wang

et al. 2019

J Cardiothorac Surg

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Background Only 4.1% of tricuspid valve IE cases require surgical intervention. The complication after tricuspid valve IE with lung abscess and empyema is rare. Case presentation We report the case of a 38-year-old male (an intravenous drug abuser) diagnosed with tricuspid valve IE who underwent tricuspid valve replacement. The case was complicated by multiple lung abscesses and thoracic empyema. The pathogens causing the lung abscesses and empyema were Acinetobacter baumannii complex and Candida albicans , which were different from those causing the endocarditis. After 4 weeks of antibiotic treatment, chest X-ray revealed bilateral clear lung markings with only mild blunting of the right costophrenic angle. Conclusion The pathogen causing the lung abscess is not always compatible with that causing the endocarditis. Thoracoscopic incision of the abscess with 4 to 6 weeks of broad-spectrum antibiotic treatment is effective and safe.

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Section: Discussionmentioning

confidence: 99%

Tricuspid valve infective endocarditis complicated with multiple lung abscesses and thoracic empyema as different pathogens: a case report

Cheng

Hsieh

Wang

et al. 2019

J Cardiothorac Surg

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“…Valvulectomy is usually performed if the patient is able to tolerate the resulting severe tricuspid regurgitation. 38,201,202 Subsequent prosthesis insertion may be required in patients who develop severe chronic tricuspid regurgitation. 201…”

Section: Surgery For S Aureus Infective Endocarditismentioning

confidence: 99%

Staphylococcus aureus infective endocarditis: diagnosis and management guidelines

Murray

2005

Internal Medicine Journal

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S. aureus infective endocarditis (SAIE) is a serious infection associated with considerable morbidity and mortality. There is evidence that the incidence of SAIE is increasing. As its clinical features are non-specific, SAIE must be suspected in every case of S. aureus bacteraemia, whether it is associated with an obvious source or not. The optimal antimicrobial agent(s) and duration of treatment for SAIE are currently not known, but on the basis of present evidence, a minimum of 2 weeks of antimicrobial therapy is recommended for 'right-sided' SAIE, a minimum of 4 weeks for uncomplicated 'left-sided' SAIE, and a minimum of 6 weeks for complicated 'leftsided' or prosthetic valve SAIE. Although there is no evidence to suggest that combination therapy with a cell-wall active agent (e.g. flucloxacillin) and an aminoglycoside decreases mortality in SAIE, combination therapy should be considered during the initial 3-5 days of therapy as it can shorten the duration of bacteraemia. In complicated or prosthetic valve SAIE, early and close liaison with cardiology and cardiothoracic surgery services is essential. Rapid identification and susceptibility testing of the infecting organism are important in determining the choice of definitive antimicrobial therapy.

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“…Thus, patients, in whom the TR procedures fail or who have excessive involvement or severe destruction of valvular structure, should be considered for the TVR procedure with biological prosthesis. Arbulu et al [23,24] firstly described the valvulectomy procedure in patients with TVE result in severe destruction of valvular structures. However, they showed that right ventricular dysfunction might develop approximately in one-third of patients due to pulmonary hypertension secondary to multiple pulmonary emboli.…”

Section: Discussionmentioning

confidence: 99%

Tricuspid valve surgery in implantable cardiac electronic device-related endocarditis: Repair or replace?

Çakıcı

Özçınar

Baran

et al. 2018

Turk Gogus Kalp Dama

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Bu çalışmada, elektrot endokarditi ile ilişkili triküspid kapak yetmezliği araştırıldı, altta yatan nedenler belirlendi ve triküspid kapak endokarditine ilişkin cerrahi yaklaşımlarımız sunuldu. Ça lış ma pla nı: Mart 2010-Ağustos 2016 tarihleri arasında, daha önce implante edilebilir elektronik cihaz olarak yerleştirilen elektrodun neden olduğu endokardit ile ilişkili şiddetli triküspid yetmezliği nedeniyle triküspid kapak cerrahisi yapılan toplam 43 hastanın (23 erkek, 20 kadın; ort. yaş 63.2±13.6 yıl; dağılım 48-72 yıl) tıbbi kayıtları incelendi. Enfekte elektrotlar ve jeneratörler dahil olmak üzere tüm sistem çıkarıldı; enfekte yaralar ve dokulara revizyon uygulandı; elektrot endokarditi nedeniyle triküspid kapak cerrahisi yapıldı ve kültür ile doğrulandığı üzere etken ajana yönelik uzun dönem intravenöz antibiyotik tedavisi uygulandı. Bul gu lar: Elektrot endokarditi ile ilişkili şiddetli triküspid kapak yetmezliği nedeniyle 43 hastanın 18'ine triküspid kapak tamiri, 25'ine ise triküspid kapak replasmanı uygulandı. Takip boyunca (dağılım: 2-62 ay), iki hastada ameliyat sonrası akut sağ kalp yetmezliğine bağlı geçici mekanik destek ihtiyacı olurken, sekiz hasta sepsis (n=6; %14) ve inme (n=2; %4.6) nedeniyle ameliyat sonrası erken dönemde kaybedildi. Geri kalan hastaların kalp yetmezliği bulgu ve belirtilerinde anlamlı düzelme izlendi. So nuç:Çalışma sonuçlarımız, yetersiz deneyim ve yanlış kapak onarımı kararının kapak replasmanını geciktirebileceğini ve ameliyat süresini uzatabileceğini göstermektedir. Anah tar söz cük ler: İmplante edilebilir kardiyoverter defibrillator; elektrot endokarditi; kalıcı kalp pili; triküspid kapak cerrahisi.

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Tricuspid valvulectomy without replacement

Cited by 79 publications

References 10 publications

Tricuspid valve infective endocarditis complicated with multiple lung abscesses and thoracic empyema as different pathogens: a case report

Tricuspid valve infective endocarditis complicated with multiple lung abscesses and thoracic empyema as different pathogens: a case report

Staphylococcus aureus infective endocarditis: diagnosis and management guidelines

Tricuspid valve surgery in implantable cardiac electronic device-related endocarditis: Repair or replace?

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