Cor Vasa 2010, 52(5-6):362-364 | DOI: 10.33678/cor.2010.091

Tricuspid valve endocarditis in a drug addict: will two operations do?

Pavel Žáček1,*, Jan Dominik1, Jan Harrer1, Jan Vojáček1, Miroslav Solař2
1 Department of Cardiac Surgery, The Cardiocentre, University Hospital Hradec Králové and Faculty of Medicine in Hradec Králové, Charles University in Prague, Hradec Králové
2 First Department of Internal Medicine, University Hospital Hradec Králové and Faculty of Medicine in Hradec Králové, Charles University in Prague, Hradec Králové, Czech Republic

A case of tricuspid valve endocarditis in a young drug addict is described which was treated surgically by valve replacement. Failure to stop intravenous drug abuse led to early destruction of the implanted bioprosthesis in a new onset of prosthetic valve endocarditis. A comparison of the operative findings at the initial operation and reoperation underlines the difficulties in the treatment of infective endocarditis in intravenous drug addicts. Different treatment strategies are discussed.

Keywords: Tricuspid valve; Endocarditis; Drug abuse; Surgery

Published: May 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Žáček P, Dominik J, Harrer J, Vojáček J, Solař M. Tricuspid valve endocarditis in a drug addict: will two operations do? Cor Vasa. 2010;52(5-6):362-364. doi: 10.33678/cor.2010.091.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Moss R, Munt B. Injection drug use and right-sided endocarditis. Heart 2003;89:577-581. Go to original source... Go to PubMed...
    2. Musci M, Siniawski H, Pasic M, et al. Surgical treatment of right-sided active infective endocarditis with or without involvement of the left heart: 20-year single center experience. Eur J Cardiothorac Surg 2007;32:118-125. Go to original source... Go to PubMed...
    3. Hecht SR, Berger M. Right-sided endocarditis in intravenous drug users. Prognostic features in 102 episodes. Ann Intern Med 1992;117:560-566. Go to original source... Go to PubMed...
    4. Carozza A, Renzulli A, De Feo M, et al. Tricuspid repair for infective endocarditis: clinical and echocardiographic results. Tex Heart Inst J 2001; 28:96-101.
    5. Kay JH, Maselli-Campagna G, Tsuji KK. Surgical treatment of tricuspid insufficiency. Ann Surg 1965;162:53-58. Go to original source... Go to PubMed...
    6. De Vega NG. Selective, adjustable and permanent annuloplasty. An original technic for the treatment of tricuspid insufficiency. Rev Esp Cardiol 1972;25:555-556.
    7. Munro AI, Jamieson WR, Tyers GF, Germann E. Tricuspid valve replacement: porcine bioprostheses and mechanical prostheses. Ann Thorac Surg 1995;60(2 Suppl):S470-S473; discussion S73-S74. Go to original source... Go to PubMed...
    8. Moon MR, Miller DC, Moore KA, et al. Treatment of endocarditis with valve replacement: the question of tissue versus mechanical prosthesis. Ann Thorac Surg 2001;71:1164-1171. Go to original source... Go to PubMed...
    9. Mestres CA, Castella M, Moreno A, et al. Cryopreserved mitral homograft in the tricuspid position for infective endocarditis: a valve that can be repaired in the long-term (13 years). J Heart Valve Dis 2006;15:389-391. Go to PubMed...
    10. Miyagishima RT, Brumwell ML, Eric Jamieson WR, Munt BI. Tricuspid valve replacement using a cryopreserved mitral homograft. Surgical technique and initial results. J Heart Valve Dis 2000;9:805-808; discussion 808-809. Go to PubMed...
    11. Arbulu A, Holmes RJ, Asfaw I. Surgical treatment of intractable right-sided infective endocarditis in drug addicts: 25 years experience. J Heart Valve Dis 1993;2:129-137; discussion 138-139. Go to PubMed...
    12. Robin E, Thomas NW, Arbulu A, et al. Hemodynamic consequences of total removal of the tricuspid valve without prosthetic replacement. Am J Cardiol 1975;35:481-486. Go to original source... Go to PubMed...

    Return to the content


    Cor et Vasa

    You are accessing a site intended for medical professionals, not the lay public. The site may also contain information that is intended only for persons authorized to prescribe and dispense medicinal products for human use.

    I therefore confirm that I am a healthcare professional under Act 40/1995 Coll. as amended by later regulations and that I have read the definition of a healthcare professional.


    No
    Yes