"Removal without Replacement" Strategy for Uncontrolled Prosthetic Tricuspid Valve Endocarditis Associated with Abortion Sepsis

Authors

  • Ahmet Karabulut
  • Ozgur Surgit
  • Ozgur Akgul
  • Ihsan Bakir

DOI:

https://doi.org/10.1532/HSF98.20101174

Abstract

Isolated tricuspid valve (TV) endocarditis associated with abortion is a rare entity with a poor prognosis. We report the case of a 22-year-old woman with a diagnosis of isolated prosthetic TV endocarditis secondary to recurrent abortion. The patient had progressed to multiorgan failure and disseminated intravascular coagulation during her clinical course. Because of the high operative risk and uncontrolled infection, we performed an unusual surgical approach that has not previously been reported. Resection of infected valvular tissue without replacement of the prosthesis led to a rapid convalescence period and complete cure.

References

Aslam AF, Aslam AK, Thakur AC, Vasavada BC, Khan IA. 2005. Staphylococcus aureus infective endocarditis and septic pulmonary embolism after septic abortion. Int J Cardiol 105:233-5.nAzzam ZS, Ron Y, Oren I, Sbeit W, Motlak D, Krivoy N. 1998. Group B streptococcal tricuspid valve endocarditis: a case report and review of literature. Int J Cardiol 64:259-63.nBernal JM, Pontón A, Diaz B, et al. 2008. Surgery for rheumatic tricuspid valve disease: a 30-year experience. J Thorac Cardiovasc Surg 136:476-81.nCardarelli MG, Gammie JS, Brown JM, Poston RS, Pierson RN 3rd, Griffith BP. 2005. A novel approach to tricuspid valve replacement: the upside down stentless aortic bioprosthesis. Ann Thorac Surg 8:507-10.nGuenther T, Noebauer C, Mazzitelli D, Busch R, Tassani-Prell P, Lange R. 2008. Tricuspid valve surgery: a thirty-year assessment of early and late outcome. Eur J Cardiothorac Surg 34:402-9.nGutierrez-Martin MA, Galvez-Aceval J, Araji OA. 2010. Indications for surgery and operative techniques in infective endocarditis in the present day. Infect Disord Drug Targets 10:32-46.nJeppson PC, Park A, Chen CC. 2008. Multivalvular bacterial endocarditis after suction curettage abortion. Obstet Gynecol 112:452-5.nKangavari S, Collins J, Cercek B, Atar S, Siegel R. 2000. Tricuspid valve group B streptococcal endocarditis after an elective termination of pregnancy. Clin Cardiol 23:301-3.nPalys EE, Li J, Gaut PL, Hardy WD. 2006. Tricuspid valve endocarditis with Group B Streptococcus after an elective abortion: the need for new data. Infect Dis Obstet Gynecol 2006:43253.nPanigrahi NK, Panda RS, Panda S. 1998. Tricuspid valve endocarditis following elective abortion. Indian J Chest Dis Allied Sci 40:69-72.nPisani P, Bichi S, Cricco A, Pennetta A, Esposito G. 2010. The upsidedown stentless aortic bioprosthesis to tricuspid valve replacement. J Cardiovasc Med (Hagerstown) 11:762-3.nRevilla A, López J, Villacorta E, et al. 2008. Isolated right-sided valvular endocarditis in non-intravenous drug users. Rev Esp Cardiol 61:1253-9.nSingh SK, Tang GH, Maganti MD, et al. 2006. Midterm outcomes of tricuspid valve repair versus replacement for organic tricuspid disease. Ann Thorac Surg 82:1735-41.nSung K, Park PW, Park KH, et al. 2009. Is tricuspid valve replacement a catastrophic operation? Eur J Cardiothorac Surg 36:825-9.nWalther T, Falk V, Schneider J, Walther C, Mohr FW. 1999. Stentless tricuspid valve replacement. Ann Thorac Surg 68:1858-9.n

Published

2011-12-13

How to Cite

Karabulut, A., Surgit, O., Akgul, O., & Bakir, I. (2011). "Removal without Replacement" Strategy for Uncontrolled Prosthetic Tricuspid Valve Endocarditis Associated with Abortion Sepsis. The Heart Surgery Forum, 14(6), E357-E359. https://doi.org/10.1532/HSF98.20101174

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