[A case of tricuspid infective endocarditis in a drug addict]

Kyobu Geka. 2000 Mar;53(3):190-3.
[Article in Japanese]

Abstract

This report describes a successful operative case of tricuspid infective endocarditis in a drug addict. A 24-year-old man with a history of drug addiction (6 months) complained of general fatigue and high fever. Echocardiography showed a large vegetation attached to the tricuspid valve and severe tricuspid regurgitation. Blood cultures revealed septicemia due to methicillin sensitive Staphylococcus aureus. He was treated for about 1 week with intravenous antibiotics. However, subsequent severe heart failure necessitated emergency operation. The tricuspid valve was replaced with Carpentier-Edwards bioprosthesis because of severe destruction of the tricuspid valve. The postoperative course was uneventful and he has remained free from endocarditis for 15 months after surgery.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Adult
  • Bioprosthesis
  • Emergencies
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / surgery*
  • Heart Valve Prosthesis Implantation
  • Humans
  • Male
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / surgery*
  • Substance-Related Disorders*
  • Treatment Outcome
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / etiology
  • Tricuspid Valve Insufficiency / surgery